Vermont Medicine Fall 2023

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VERMONTMEDICINE THE ROBERT L ARNER, M.D. COLLEGE OF MEDICINE AT THE UNIVERSITY OF VERMONT

FALL 2023

DONNING A TRADITION The White Coat Ceremony continues to inspire

A L S O F E AT U R E D : 2 0 0 Y E A R S Y O U N G • PAT H WAY S T O M E D I C I N E • I M B A S C I A N I I N T E RV I E W


FROM THE DEAN THE ROBERT LARNER, M.D. COLLEGE OF MEDICINE AT THE UNIVERSITY OF VERMONT FALL 2023 | PUBLISHED NOVEMBER 2023 DEAN Richard L. Page, M.D. SENIOR ASSOCIATE DEAN FOR MEDICAL EDUCATION Christa Zehle, M.D. SENIOR ASSOCIATE DEAN FOR RESEARCH J. Kathleen Tracy, Ph.D. SENIOR ASSOCIATE DEAN FOR CLINICAL AFFAIRS Jason Sanders, M.D., M.B.A. SENIOR ASSOCIATE DEAN FOR FINANCE & ADMINISTRATION Brian L. Cote, M.B.A. EDITORIAL DIRECTOR John Turner CONTRIBUTING WRITERS Angela Ferrante, Janet Franz, Jennifer Nachbur, John Turner ART DIRECTOR Ann Howard PRODUCTION ASSISTANCE Lucy Gardner Carson CONTRIBUTING PHOTOGRAPHERS Andy Duback, Ceilidh Kehoe, Ryan Mercer, David Seaver SEND US YOUR STORIES If you have an idea for something that should be covered in Vermont Medicine, please email vmstories@med.uvm.edu VISIT VERMONT MEDICINE ONLINE Find current and past issues including exclusive web extras at www.med.uvm.edu/ vtmedicine Vermont Medicine is published by The UVM Larner College of Medicine. Articles may be reprinted with permission of the editor. Please send correspondence to the editor by visiting: www.med.uvm.edu/vtmedicine.

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n a world that is especially troubled right now, I wish you and your families peace and good health. I also hope that this issue of Vermont Medicine provides a modicum of hope, as you learn about and celebrate the positive impact of the Larner College of Medicine. The past few months have seen the fulfillment of our mission played out here on campus. In May we sent out more than 100 new physicians to begin their careers in Vermont and states across the nation. In August we welcomed 124 members of the medical school class of 2027—a highly qualified, talented, and diverse assembly of individuals recruited from among 8,500 applicants. We also greeted both new and returning graduate students in our master’s and doctoral programs, as well as the returning medical classes of 2024–2026. Our Dean’s Celebration of Excellence in Research week in September allowed us to highlight and celebrate our many scientific discoveries and accomplishments and hear from upcoming and distinguished scientists representing an array of research disciplines. In addition, on a gorgeous autumn day in October, the milestone of our White Coat Ceremony reminded us of the covenant we enter into upon joining the medical profession. That same weekend, I had the honor of welcoming back to campus hundreds of our dedicated graduates at Medical Reunion. Our College’s legacy was perfectly exemplified by celebrations on the very same day as the Class of 2027 receiving their white coats and members of the Class of 1973 donning the medallions that commemorate their Golden Reunion. In keeping with our focus this year on the bicentennial of our first graduating class, this issue of Vermont Medicine features an article reflecting on the journey to our 200th anniversary and a vision for our future. You will find contributions to the 2023 edition of The Red Wheelbarrow, our literary and arts magazine. There is a story about the legacy of Cynthia Forehand—who, after a decadeslong career in neuroscience and more than 35 years of service as a biomedical scientist, educator, mentor, and leader at the University of Vermont, officially retired as of July 1, 2023. Please take a look at the feature about work by Sean Diehl, Ph.D., associate professor of microbiology and molecular genetics, and colleagues, that has contributed to the development of a newly approved antibody drug that offers protection against the respiratory syncytial virus (RSV). And note the power of pathway programs led by Larner medical students that offer opportunities for potential applicants from populations underrepresented in medicine to envision their experience in medical school. Finally, we present an interview with a dear friend and indefatigable supporter of our College, Vito Imbasciani, M.D.’85, Ph.D., an erudite, decorated physician and public servant who embodies the principles of professionalism, cultural humility, kindness, and respect—core values here at the Larner College of Medicine. With warmest regards for your continued health and safety,

RICHARD L. PAGE, M.D. Dean


VERMONT MEDICINE | FALL 2023

CONTENTS NEWS 2 Faculty Awards, Research Celebration 3 Commencement Weekend 4 Research Briefs 5 Boosting Vermont’s Physician Pipeline 7 White Coat Ceremony, Orientation 8 Student Voices 9 Vermont’s First Mohs Surgeon 12 Combatting RSV

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FEATURES 14 200 Years Young, What’s Next? Charting the College’s path forward 18 Building Pathways to Medicine Creating new pathways to medical school 20 The Red Wheelbarrow Selections from Larner’s literary and arts magazine 24 Summer Scholars Medical students dive into research

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28 Renaissance Man An interview with Vito Imbasciani, M.D.’85, Ph.D.

HALL A 32 President’s Corner 33 Class News & Notes 34 Development News 35 Medical Reunion 36 Medical Alumni Award Winners

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38 Obituaries 40 Moment in Time

On the cover: Capturing a moment at the white coat ceremony UVM L ARNER COLLEGE OF MEDICINE

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NEWS CELEBRATING RESEARCH The University of Vermont and UVM Larner College of Medicine recently hosted the Dean’s Celebration of Excellence in Research, a weeklong celebration dedicated to showcasing the exceptional research endeavors of faculty, research fellows, and graduate students. This year’s event series was an inspiring platform for academic discovery and collaboration and included a signature event each day, as well as an awards ceremony celebrating the outstanding dedication of researchers to advancing medicine and science. While all nominees demonstrated significant commitment to their work, a select

(Clockwise, from top left) Mary Cushman, M.D., M.Sc., Stephen Higgins, Ph.D., Sarah Heil, Ph.D., and Gary Stein, Ph.D.

UVM Faculty Awards

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he University of Vermont (UVM) recently announced the recipients of the 2023 Faculty Awards, and four Larner College of Medicine faculty were among the honorees. Mary Cushman, M.D., M.Sc., Stephen Higgins, Ph.D., and Gary Stein, Ph.D., have been recognized with the University Distinguished Professor Award—the highest academic honor that UVM bestows upon a faculty member. Holders of this title are recognized for having achieved international eminence within their respective fields of study and for the truly transformative nature of their contributions to advancing knowledge. On May 21, Cushman, Higgins, and Stein were officially recognized as University Distinguished Professors at the University Commencement Ceremony. All three of the new University Distinguished Professors are UVM Cancer Center members. Sarah Heil, Ph.D., was named a 2023-24 University Scholar in the category of Basic and Applied Science. This award recognizes sustained excellence in research, creative, and scholarly activities as well as the encouragement of a climate of scholarship at UVM. Heil is being honored for her excellence in her field and her ability to foster academic achievement in others.

DEPARTMENT OF FAMILY MEDICINE REPRESENTED AT THE STATE OF VERMONT Department of Family Medicine faculty member Justin Hurlburt, D.M.D., M.A., became the president of the FREEDOM U NITY Vermont State Dental Society on September 22, 2023. He is also the program director for the general practice dental residency and site leader of UVMMC Dental and Oral Health. He joins Anne Morris, M.D., president of the Vermont Academy of Physicians, and Mary Harrison, D.O., M.S., treasurer of the Vermont Academy of Osteopathic Physicians and Surgeons, in representing the department and Larner College of Medicine this year at the state level. VERMONT

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few were honored for their exceptional contributions. The College also hosted its first Research Rally. Featuring a slate of Larner and UVM experts, these Ted-style talks were designed to appeal to a broad audience—each segment lasted only seven minutes, giving the presenters a chance to prove their elevator-pitch skills. University of Vermont Provost and Senior Vice President Patricia Prelock, Ph.D., kicked off the event, and Senior Associate Dean for Research Kate Tracy, Ph.D., closed out the Research Rally with a talk of her own. “Sharing and celebrating research is not just integral to our mission at the Larner College of Medicine; it’s the heartbeat of our academic community,” stated Dr. Tracy. “By showcasing our discoveries, we hope to inspire curiosity, foster innovation, and create a culture of continuous learning.” (Above, clockwise, from top left) Kate Tracy, Ph.D., kicks off the awards; Matthew Caporizzo, Ph.D., speaks at the Research Rally; Patricia Prelock, Ph.D., presents Christian Pulcini, M.D., M.P.H., M.Ed., with the New Investigator award.


NEWS

Class of 2023 graduate Anna Chamby leads students into Ira Allen Chapel

UVM Commencement Weekend

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he sun shone brightly all weekend on students, family, friends, faculty, and staff who gathered to celebrate both the next generation of biomedical scientists and health professionals, as well as the exceptional academic achievements of several Larner College of Medicine faculty, during the University of Vermont’s Commencement Weekend. Larner community members figured prominently in three separate ceremonies during the weekend’s events. On Saturday, May 20, master’s degree and doctoral degree recipients were hooded at the Graduate College Ceremony in the Gutterson Fieldhouse. On Sunday, May 21, honorary degree and University Distinguished Professor recipients were recognized at the University Commencement Ceremony on the University Green, and more than one hundred of UVM’s newest medical degree recipients were honored at the Larner

(L-R) Richard Schneider, Ph.D., RADM, USCGR (Ret.), Emily Oliver, M.D.’23, Dean Page, Cara Rathmell, M.D.’23

College of Medicine Ceremony later that afternoon in Ira Allen Chapel. Class of 2023 graduate Cyrus ThomasWalker, M.D., served as Student Marshal, and led his classmates into the ceremony, where Larner Dean Richard L. Page, M.D., delivered the first remarks. Praising the new physicians on the grace and professionalism with which they adapted to new learning modalities and upheaval during the pandemic, he said, “Class of 2023, you are the clearest indicators of better times ahead—you are the best promise for our future.” The ceremony also featured a moving vocal performance of Vermont’s state song, “These Green Mountains,” by Class of 2023 graduates Michael Koliba Lawler, M.D., and Naomi Koliba Lawler, M.D., remarks from Stephen Leffler, M.D.’90 and chief medical officer, president, and chief operating officer of the University of Vermont Medical Center, and a keynote address by Gaurab Basu, M.D., M.P.H., 2010 Larner medical alum and founding co-director of the Cambridge Health Alliance Center for Health Equity Education and Advocacy. UVM L ARNER COLLEGE OF MEDICINE

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NEWS

RESEARCH BRIEFS

EAT, SLEEP, CONSOLE: CLINICAL TRIAL IDENTIFIES MORE EFFECTIVE WAY TO CARE FOR OPIOID-EXPOSED NEWBORNS Research led by Leslie Young, M.D., demonstrates that the “Eat, Sleep, Console” care approach (ESC) for newborns exposed to opioids in the womb results in shorter hospital stays and decreased need for morphine and methadone. Funded by the National Institutes of Health, the trial examined the impact of ESC, which emphasizes parent involvement, skin-to-skin contact, breastfeeding, rocking, and a calm environment as a first-line treatment. The findings are published in New England Journal of Medicine.

AN EXPLORES THE CHALLENGES AND PROMISES OF MEDICAL DIGITAL TWINS Recent research by Gary An, M.D., and colleagues centered on developing digital twins of the human immune system. An is a coauthor of the article, “Building digital twins of the human immune system: Toward a Roadmap.” The roadmap involves taking multi-scale biological data—at the body, organ, tissue, cellular, and molecular levels—and entering that information into a digital model that conducts data integration, analysis, and modeling, and performs computer-based simulations, which can then provide personalized diagnoses, prognoses, and optimal therapies.

IMPROVING DIVERSITY IN HEART DISEASE CLINICAL RESEARCH Black adults in the U.S. experience a disproportionate burden of heart disease but are typically underrepresented in cardiovascular disease-related clinical trials, a problem that could compromise their health outcomes. A new study led by Tim Plante, M.D., M.H.S., assistant professor in the Division of General Internal Medicine, is exploring whether inviting Black people to help design digital recruitment approaches will better engage Black adults and increase participation in clinical trials.

LYME DISEASE VACCINE TRIAL LAUNCHES Anyone who spends time outdoors can be at risk for Lyme disease. This common illness is caused by bacteria found in ticks that live in wooded areas or fields with tall grass and brush. There are currently no approved vaccines available to prevent Lyme disease in humans, but one may be on the way. UVM’s Vaccine Testing Center recently launched a clinical study to investigate the efficacy, safety, and immunogenicity of a Lyme vaccine. Kristen Pierce, M.D., professor of medicine and infectious disease specialist at the University of Vermont Medical Center, is leading the study.

CORRECTION In the 2023 Spring Vermont Medicine, page 11, there was an error in the Class of 2023 Residency Match List. We apologize for any confusion. The following students should have been listed under “Internal Medicine” not “General Surgery.” Dinkar Ahuja, Raj Aurora, Niveditha Badrinarayanan, Jacob Bernknopf, William Brown, Jett Choquette, Lauren Coritt, Kevin DiBona, Grace Eisenbiegler, Helen Gandler, Luke Hallgarth, Tess Hickey, Liam John, Michael Lawler, Kearac Lynn, Alexandra Novelli, Samantha Schuetz, Samuel Short, Aneesh Singal, Ashwinkumar Sooriyakumar, Cyrus Thomas-Walker.

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NEWS

Boosting Vermont’s Physician Pipeline INCENTIVE SCHOLARSHIP SUPPORTS LARNER GRADUATES PRACTICING IN VERMONT

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hen Cliff Reilly graduates from the Larner College of Medicine in May, he envisions leaving Vermont— temporarily—to pursue an emergency medicine residency, perhaps followed by fellowship training. His dream, however, includes returning to his beloved Green Mountain State to settle down and practice emergency medicine. As the inaugural recipient of the David and Eleanor Ignat Medical Student Incentive Scholarship/Loan Forgiveness program, that dream is within Reilly’s grasp. The incentive scholarship will forgive Reilly’s medical school loans, if he returns to Vermont within a year following his residency and fellowship programs. Endowed by David and Eleanor Ignat, longtime philanthropic supporters of the University of Vermont, the incentive aims to strengthen the physician workforce pipeline into Vermont as the state competes nationally and globally to attract and retain an appropriate and geographically distributed physician workforce. An avid backcountry skier, canoeist, rock climber, and farmto-table enthusiast, Reilly and his fiancée spend as much time as possible exploring Vermont’s forest, slopes, waterways, and farmers’ markets. The couple feels at home in Vermont’s rural regions, including Chester, where he enjoyed visiting his grandparents, her Middlebury alma mater, and the Norwich community where the couple lived before moving to Burlington. During Reilly’s third year of medical school, he participated in a longitudinal clerkship at the Central Vermont Medical Center primary care clinic in Waterbury, where he built relationships with patients and their families. This is the lifestyle Reilly wants for himself, and for his future patients. “I would love to build a life here and raise my future family in

Vermont. It’s a great state and has a wonderful patient population,” Reilly said. “Seeing families multiple times, and getting to know the moms, dads, and kids was a nice experience.” In rural communities nationwide, lower rates of pay make it challenging to recruit young physicians. In Vermont, an aging population has increased the demand for health care providers, and, as older physicians retire, Vermont’s physician shortage continues to rise. “Physician workforce shortages are well-documented and chronic, especially in rural areas,” said Elizabeth Cote, director of the Larner College of Medicine Office of Primary Care and Area Health Education “ I would love to build a life Centers (AHEC) Program, established in 1996 here and raise my future to improve health family in Vermont... care access through Having the option to have workforce development. can have my loans forgiven makes “Philanthropy a tremendous impact on that decision easier.” workforce development and provides the greatest – CLIFF REILLY, CLASS OF 2024 opportunity to innovate.” Offering to pay the medical school tuition for students who commit to practice in Vermont after their medical training is one strategy to attract more young doctors to the state. “The Ignat family’s gift removes barriers for me, and other doctors, to come back to practice in Vermont,” Reilly said. “I have a preference toward rural emergency departments and smaller community hospitals. Having the option to have my loans forgiven makes that decision easier.”

UVM L ARNER COLLEGE OF MEDICINE UVM L ARNER COLLEGE OF MEDICINE

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NEWS WILLIAMS NAMED NEW LARNER ASSISTANT DEAN FOR ADMISSIONS

Dixon Appointed Chair of the Department of Medicine

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nne Dixon, M.A., B.M.B.Ch., professor of medicine, has been appointed chair of the Department of Medicine in the Larner College of Medicine at the University of Vermont. Dixon has been serving as interim chair since October 2022. This was announced on September 6, 2023, by Richard L. Page, M.D., dean of the College and Jason Sanders, M.D., M.B.A., senior associate dean for clinical affairs and president and CEO of the UVM Health Network Medical Group. She has succeeded Polly Parsons, M.D., who was chair from 2006–2022. Dixon holds an M.A. from the University of Cambridge, England, and earned her medical degree from the University of Oxford, England. Her training includes an internal medicine residency at Johns Hopkins University and a pulmonary and critical care fellowship at the University of Washington. A member of the faculty at UVM since 2001, Dixon has served as chief of the Division of Pulmonary and Critical Care Medicine since 2009. She is also director of the Vermont Lung Center. “We are fortunate to have such an accomplished clinical and research leader at the helm of the Department of Medicine guiding its faculty, staff, and learners. After a national search that attracted many excellent candidates, Dr. Dixon emerged as the right person to lead our largest department,” stated UVM Larner College of Medicine Dean Richard L. Page, M.D. “Dr. Dixon has served with distinction as Interim Chair, and will lead our teams across the UVM Health Network in Vermont and New York to expand patient access, advance clinical trials, and improve population health,” said President and CEO of the UVM Health Network Medical Group Jason Sanders, M.D. A physician-scientist known internationally for her work in asthma and lung diseases related to obesity and metabolic dysfunction, Dixon has published 140 articles and continuous extramural research funding. She is a Fellow of the American Thoracic Society and currently chairs the Pulmonary Examination Committee for the American Board of Internal Medicine and serves on the Scientific Advisory Committee and Board of Directors for the American Lung Association. Dixon has received a number of awards and recognitions, including the UVM Health Network Medical Group’s Senior Investigator of the Year award in 2016, the American Thoracic Society Distinguished Achievement Award in 2021, and recognition as the Larner College of Medicine Research Laureate. Her contributions to asthma and allergy research were acknowledged with the Champion of the Asthma & Allergy Community Award from the New England Chapter of the Asthma and Allergy Foundation of America in 2021. In 2022 she was recognized by UVM as a University Scholar.

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Senior Associate Dean for Medical Education Christa Zehle, M.D.’99, announced the appointment of Anthony Williams, M.D., as assistant dean for admissions in the Office of Medical Student Admissions, effective July 1, 2023. Williams will provide leadership support for the recruitment and selection of Larner College of Medicine medical students. “Dr. Williams has been a valuable contributing member of our Admissions Committee since 2019,” stated Zehle. “I am delighted that he has accepted this important leadership position on the admissions team and know that our medical education program and community will benefit greatly from his experiences, perspectives, and commitment to addressing the lack of minority representation in medical schools and in our profession.” A graduate of the University of Rochester School of Medicine & Dentistry, Williams completed a family medicine residency at the UVM Medical Center and joined the UVM faculty in 2016. Based at the UVM Health Network’s Family Medicine–Primary Care office in Colchester, Williams oversees many facets of palliative/endof-life care. His clinical expertise also extends to knee, shoulder, and hip injections, as well as surface skin biopsies. In addition, Williams is a proud champion of diversity in practice. He continues to serve as the co-chair for the Diversity, Equity, and Inclusion Committee. “As an African American physician, I am well aware of the data regarding the lack of minority representation in medical schools,” Williams said. “As assistant dean for admissions, I seek to challenge this imbalance while remaining mindful of the Larner College of Medicine’s goal: to create a thoughtful, diverse student body. This role affords me the opportunity to directly support our mission of improving medical student diversity and retention.”


NEWS

NEWEST STUDENTS RECEIVE WHITE COATS lege of

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Larner Welcomes Class of 2027

On August 7, 2023, the Larner College of Medicine at the University of Vermont welcomed 124 new medical students in the Class of 2027 to campus for Orientation—the first course of the Foundations level of the Vermont Integrated Curriculum. Throughout the week, the students participated in activities and exercises aimed at acquainting the students with the various aspects of their upcoming academic journey. From exploring the College’s facilities and the Burlington region to interacting with faculty, staff, and classmates, the Class of 2027 members received a comprehensive introduction to the place that will be their home for the next four years. Activities included the “First Patient Simulation” exercise, a cherished tradition during which students encounter their “first patient” under the guidance of Chair of Pediatrics and University of Vermont Children’s Hospital Chief Lewis First, M.D., M.S. The new medical students were also placed in their Professionalism, Communication, and Reflection (PCR) course groups and met with their respective group advisors. PCR is a year-long course featuring small, process-oriented discussion groups guided by experienced faculty preceptors. Their discussions explore a wide range of important themes, such as professionalism, self-awareness, personal well-being, effective communication with peers, colleagues, and patients, and the social, ethical, and economic aspects of medicine. Another highlight of Orientation week was the integrated community service and wellness activities. The medical students assisted local partners in Burlington, with tasks such as mulching, fence repair, and LARNER CLASS OF 2027 painting signage at the Starr Farm Community Garden and Intervale STUDENTS Center. They also engaged in % volunteer initiatives at the Howard VERMONTERS Center and Fletcher Free Library, UNDERREPRESENTED % IN MEDICINE underscoring a commitment to creating a positive impact beyond % LGBTQA the classroom.

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Amid the autumn foliage on October 13, medical students in the Class of 2027 gathered at UVM’s historic Ira Allen Chapel to receive their first white coats. This rite of passage officially welcomes students into the medical profession and emphasizes the responsibility they carry. Senior Associate Dean for Medical Education, Christa Zehle, M.D.’99, welcomed the students along with the audience of nearly 600 people, including the students’ families, loved ones, and mentors, Larner faculty and staff. Dean Richard Page, M.D., Stephen Leffler, M.D.’90, FACEP, professor of emergency medicine, UVM Medical Center President and Chief Operating Officer, and University Distinguished Professor of Medicine Mary Cushman, M.D.’89, M.Sc., president of the Larner College of Medicine Alumni Association, shared their reflections. “Your white coat is a sign to the world that you are a healer and are committed to making people’s lives better. Wear it proudly but humbly,” advised Leffler from the podium. “As you continue your journey towards becoming a physician, please never forget that you have the power to make a real and lasting impact.” One by one during the Presentation of Coats, each student took center stage to be cloaked with their white coat. Tucked into each coat pocket was a keepsake copy of The Oath from the UVM Office of Primary Care and a White Coat Note card with a heartfelt message of encouragement penned by a Larner College of Medicine alum.

26 U.S. STATES / 2 CANADIAN PROVINCES AVERAGE AGE: 25 / 8,569 APPLICANTS

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NEWS Student Voices Lauren Tien

I’m not so different from Lionel Messi — and neither are you

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n the United States, 16,783,000 viewers watched the 2022 World Cup final. That number doesn’t include me, who inconspicuously watched the match over the shoulder of a stranger sitting one row ahead of me on a flight—a traveler who had the means to purchase the plane’s Wi-Fi, while I, a student surviving on loans, do not. So, let’s set the record straight and revise the number to 16,783,001. I became interested in the dynamic between mega stars Lionel Messi of Argentina and Kylian Mbappe of France. They had just faced off in a heated and emotionally exhausting match that could arguably be the best World Cup final ever played. Tensions were so high, I almost forgot that Messi and Mbappe play exponentially more games as teammates than opponents! For those who don’t know, Messi (perhaps the greatest of all time) and Mbappe (who has the potential to eclipse Messi’s greatness) were teammates on the Paris Saint-Germain football club team. This switch from teammates to rivals had me thinking a lot about identity. For most of his professional life, Messi wears a club team jersey. He was a player for Paris Saint-Germain, and now Inter Miami, but for one month every four years, Messi dons an Argentinian jersey at the World Cup. And with that change of jerseys, Messi becomes a different player representing his country, Argentina. He must adjust to different teammates and opponents, a contrasting style of play, and a distinct and passionate fanbase. How is Messi able to switch into a completely different player so effortlessly? And is this ability to metamorphose unique to him? Early in the Larner medical student curriculum, we discussed identity. Although I am far from being a professional football player, I do wear different “jerseys,” each with its own motivations and mannerisms. Most of the time I am “The Medical Student,” and I study intricate clinical disorders and physiologies. When I come home from school, I am “The Partner.” We cook dinner, watch TV shows, and plan vacations. Less obvious are my other identities, for example: • The Texan: I only acknowledge one type of brisket, and it better be fatty and cooked low and slow. • The Longhorn: I have not been truly happy since The University of Texas football team won at the Rose Bowl on January 4, 2006, to become National Champions. • The Product Manager: I only respond to the name “LT” and use odd terms like “roadmap planning” with my old co-workers in healthcare technology. • The Celebrity Gossip Enthusiast: My personal favorite. When I assume a particular identity, the others become less prominent. Like Messi, my priorities and mannerisms change with the audience I interact with.

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Often, it’s hard to realize that I am more than “The Medical Student.” I go to class, come home, and study more, which makes me feel like my whole life is medical school. This can be demoralizing, especially when “The Medical Student” is by far the most mentally and emotionally taxing of my identities. When I feel particularly discouraged, I reflect on what I have accomplished in my life and the people who love me with or without medical school. I am defined, not by my exam scores, but by all the other important things that cannot be graded. Don’t get me wrong, I love being “The Medical Student,” and I am extremely proud of where I am now. But look at all the other lives I have lived! I would call on my colleagues to evaluate who they are beyond whatever they perceive to be their primary identity. How do your conversation topics change when you’re speaking to your parents compared to when you’re talking to other medical students? Do your friends call you a funny nickname that no one else in the world would recognize? It’s a beautiful privilege and skill to transition from one identity to another, to subtly modify your mannerisms and motivations to fit where you are needed at any given moment. One day, you will be able to switch languages to accommodate a nonnative English speaker or create a bond with a patient over a shared love of guitar. The jerseys I wear are not the same as yours, which is exactly what the future of medicine needs. This diversity of identities makes us more interesting and unique as individuals and allows us to connect with those who don’t wear our jersey. This adaptability makes us malleable and resilient as future physicians. As the World Cup ended, Messi suited up with Mbappe to represent Paris Saint-Germain in the club season. These two men are more than Argentinian or French, or just professional football players. We’re all incredibly complex individuals who are defined by more than one jersey. I am more than a medical student, and I hope my medical school colleagues feel that same pride. Lauren Tien is a second-year medical student. This essay first appeared on the Larner Blog (uvmlarnermedblog.com), and has been edited for length.


NEWS

Vermont’s First Mohs Surgeon

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hen Mary Maloney, M.D., graduated from the University of Vermont College of Medicine in 1977, treatments were rapidly advancing for skin cancer, the most common cancer in the United States. A procedure called Mohs micrographic surgery, named after its originator, Frederic E. Mohs, M.D., had emerged as the most accurate method for removing cancer from skin. Dr. Mohs first used the procedure on a patient in 1936, on an individual with a squamous cell cancer of the lower lip. The procedure was not widely used, however, until the 1970s. Mohs surgery involves cutting out a visible cancer tumor and then shaving a thin layer of the surrounding skin, with the patient awake under local anesthesia. The removed skin is frozen and cut into very thin horizontal slices. The slices are placed on microscope slides and stained. While the patient waits, the surgeon examines the edges and underside of the tissue under a microscope to look for cancer cells. If cancer is found, another layer of skin is removed and examined. This process continues until the surgeon no longer sees cancer cells in the removed skin. If multiple rounds are needed, it can take several hours. The procedure allows removal of all cancerous cells, leaving the smallest possible scar. “It’s 99.9 percent effective for curing a primary tumor,” Maloney said. “It saves a lot of tissue compared to traditional surgery.” Maloney joined the UVM Division of Dermatology faculty in 1983, serving as Vermont’s first and only Mohs surgeon for five years. At the time, she was one of only two female Mohs surgeons in the U.S. Maloney explained that gender disparity was significant in almost every field of medicine, and she did not expect to have many female colleagues regardless of the path she chose. There were 13 female students in her cohort at UVM, seven in the preceding class, and three in the class preceding that. By contrast, 76 students (60 percent) in the Larner class of 2026 identify as female. Today in Vermont, there are

IN MEMORIAM

numerous Mohs surgeons, some of whom trained under Maloney. Maloney left Vermont in 1988 to join Penn State College of Medicine and then UMass Memorial, becoming division chief and then founding chair of dermatology. In February 2023, UVM’s dermatology division welcomed Maloney back as a clinical professor of medicine. Maloney was delighted to return to her alma mater. “I have the best job in the world, because I get to know people,

“ I have the best job in the world, because I get to know people, not just for an instant. While I remove and examine their tumor, we talk and form a bond” – MARY MALONEY, M.D.

not just for an instant. While I remove and examine their tumor, we talk and form a bond,” she said, adding that, while performing surgery with dermatology fellows, residents, and medical students, “We develop a bond because we’re doing something together. I have trained a lot of people, and I’ve been passionate about academic medicine.” Maloney has held numerous leadership positions, including serving on boards for the American Academy of Dermatology, American College of Mohs Micrographic Surgery and Cutaneous Oncology, American Society for Dermatology Surgery, Association of Professors of Dermatology, and Association of Academic Dermatologic Surgeons. Reflecting on her journey as Vermont’s first Mohs surgeon, a female pioneer in the field, and a mentor, Maloney said, “We all need to elevate the people coming behind us so they will take what we have done to new heights. It’s a debt we owe to the people who taught us. The people I have trained have become excellent surgeons, wellknown in the field, sought-after speakers. I’m proud of them all.”

IRWIN KRAKOFF, M.D. 1923 – 2023

Irwin Krakoff, M.D., founding director of the University of Vermont Cancer Center (UVMCC), died August 9, 2023, at age 100. An expert in chemotherapy and pharmacology whose research focused on reducing the side effects of cancer treatments while maintaining their effectiveness, Krakoff began his career at Memorial Sloan Kettering before moving to UVMCC in 1976. During his

seven-year tenure, the center garnered major funding from the National Cancer Institute and brought state-of-the-art cancer care to a largely rural population. In 1983 Krakoff moved to the University of Texas MD Anderson Cancer Center, where he finished out his long and distinguished career. “I have lost a good friend, and oncology has lost a major contributor to research,” said fellow pioneering oncologist Jerome Yates, M.D. (pictured, standing, with Krakoff), a UVM colleague who recruited Krakoff to UVMCC.

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NEWS

Forehand (center) with Larner Dean Richard Page, M.D. (left), and Joel Glover, Ph.D., professor of molecular medicine at the University of Oslo at the inaugural Cynthia J. Forehand, Ph.D., Research Symposium, June 16, 2023

The Legacy of Cynthia Forehand:

Research, Education, Leadership

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s a young math and science whiz, first-generation college student Cynthia Forehand admits she felt unsure of how the subjects she loved could translate into a career. On July 1, 2023, Forehand retired from the University of Vermont after a decades-long career in neuroscience and more than 35 years of service as a biomedical scientist, educator, mentor, and leader. Forehand’s scholarly journey began at the University of Nebraska-Lincoln as a zoology major, where she conducted research and coauthored her first publication, on thermoregulation in arctic fish. For graduate school, she switched to neurobiology and earned a doctoral degree at the University of North Carolina (UNC) studying spinal cord development and regeneration. She secured a postdoctoral position at Washington University in St. Louis, investigating innervation patterns in autonomic neurons. Forehand’s work caught the attention of Rodney Parsons, Ph.D., founding and sole chair of UVM’s Department of Anatomy and Neurobiology. Parsons recruited Forehand for a faculty position in 1987 and tasked her with directing a neuroscience course for first-year medical students. “The flash of recognition in a student’s eye when a difficult concept crystallizes for them, and the ‘this is awesome’ response from students as they learn how the nervous system functions,” are aspects of teaching that Forehand says bring her great joy. Forehand describes herself as “an early adopter” of the concept of integrating a curriculum around systems instead of disciplinary courses. In 1996 she joined the Curriculum Task Force working to transform the old Vermont Generalist Curriculum into the Vermont Integrated Curriculum (VIC) for medical students. She served as VIC Foundations level director from 2000 to 2011. In the lab, Forehand’s research sought to understand how connections in the nervous system are made and altered by 10

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disease and injury. She examined mechanisms that control how neuron connections develop and regenerate, focusing on the spinal cord and autonomic nervous system. Forehand has advised five postdoctoral fellows/research associates, served as dissertation advisor for four doctoral students, served on 19 dissertation committees, and supervised research rotations for 13 doctoral students. She has been an advisor for 10 undergraduate Honors College theses and a research supervisor for more than 20 “ The flash of recognition additional UVM in a student’s eye when undergraduates a difficult concept and six summer crystallizes for them” research students brings Forehand great joy. from outside UVM. The benefits of mentorship, explains Forehand, is that it fosters independence— a key achievement in any scientist’s career. Forehand was actively involved in UVM’s Faculty Senate and in 2010 became associate dean, then dean in 2014, of the Graduate College. Her contributions include achieving a 25 percent increase in graduate student enrollment at UVM—with a 186 percent increase in graduate students of color—as well as increases in tuition assistantship and benefits for graduate students and postgraduate learners. In January 2023, the Larner Teaching Academy honored Forehand with the Frederick C. Morin III, M.D, Educational Leadership Award, which recognizes an exemplary and sustained record of service in educational leadership, committee service, and administration.


NEWS LARNER HOSTS AAMC NORTHEAST GROUP ON EDUCATIONAL AFFAIRS Nearly 300 academic medicine faculty, residents, fellows, and students from 55 Association of American Medical Colleges-affiliated institutions throughout the northeastern U.S. gathered at UVM April 13–15 for the Northeast Group on Educational Affairs (NEGEA) annual conference. This was UVM’s first time hosting the annual event since 2010 and the NEGEA’s first in-person gathering since 2019. UVM was slated to host the 2020 conference, but plans were altered due to the pandemic. The conference provided an opportunity to showcase the university’s world-class education and research facilities and adjacent teaching hospital while invigorating medical educators with opportunities to connect with colleagues, share innovations, and obtain resources for training the next generation of physicians. “This is the premier medical education conference in our region, for educators across the continuum of medical education,” said conference host chair Kathryn Huggett, Ph.D., assistant dean for medical student education and director of The Teaching Academy. “It was an honor for Larner to host this conference, and our colleagues were grateful to meet in person after three years of virtual meetings.”

(Left to right) Wais Makaj, Lauren Tien, Kim Jones, Krystal Ramos Barrera, Katie Waeldner, Julie Scholes, Michelle Nguyen, Jackson Bressor

In Service to the Community

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ive teams of Larner Class of 2026 medical students were selected to participate as 2023-24 Schweitzer Fellows through the New Hampshire/ Vermont Schweitzer Fellows Program. They will spend hundreds of hours during the next year in solidarity with community partners, completing projects addressing health disparities throughout the region. • Thuymy-Michelle Nguyen partners with Outright Vermont on “Improving Resilience and Health Literacy in Vermont’s Gender-Diverse Youth.” The project addresses disparities affecting LGBTQ+ youth and improves their health care. They hope to bolster resources and programming that Outright VT currently offers to youth seeking health care in Vermont. • Krystal Ramos partners with Bridges to Health on “Improving Sexual Health Outcomes in Non-English Speaking Migrant Communities of Vermont.” The project seeks to improve sexual health outcomes by creating free sexual health tools that non-English-speaking migrants can receive through the mail, and by developing training for health care providers that addresses social determinants of health among non-English-speaking patients. • David (Wais) Makaj and Jackson Bressor are developing hands-on afterschool workshops and hands-on skills training to assist students in pursuing health care career interests while working to build a long-term partnership between Larner College of Medicine and Winooski Schools.

Plenary speaker Joseph A. Tyndall, M.D., M.P.H., professor and dean, Morehouse School of Medicine

Session topics included incorporating diversity, equity, and inclusion in the curriculum, using simulation technology for teaching, and leveraging students’ personal well-being to assist patients in achieving health goals. According to Huggett, 32 percent of attendees were students, residents, or fellows. NEGEA is a regional group of the Association of American Medical Colleges, serving member institutions in Connecticut, Maine, Massachusetts, New Hampshire, New York, Pennsylvania, and Vermont.

• Kimberly Jones and Lauren Tien partner with the Nulhegan Band of the Cooksuk Abenaki Nation and the Abenaki Nation of Missisquoi to improve Abenaki health and promote workforce development. They host clinics to screen for chronic health problems and introduce health career opportunities to Abenaki youth. • Molly Greenblat and Julianne Scholes collaborate with the Pride Center of Vermont on “Expanding the Transgender Healthcare Network in Vermont.” Their project seeks to strengthen the network of clinics and providers that offer gender-affirming care. • Katie Waeldner and Geisel School of Medicine at Dartmouth student Ila Kaul are developing a platform that anonymously and sensitively documents survivors’ experience of trauma recovery with SafeArt, a free healing arts program that uses storytelling to voice the needs and personal reflection of survivors. Molly Rideout, M.D., professor of pediatrics, serves as faculty leader with assistance from Tim Lahey, M.D., M.M.Sc., professor of medicine.

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NEWS IN 2022, ABOUT ONE IN 500 BABIES

Combatting

RSV

LARNER RESEARCHER’S COLLABORATIVE EFFORTS PROPEL VACCINE DEVELOPMENT

Sean Diehl, Ph.D., investigates antibodies to respiratory syncytial virus, dengue virus, Zika virus, norovirus, and other pathogens in his research in UVM’s Vaccine Testing Center.

ages six months and younger was hospitalized due to respiratory syncytial virus (RSV). An upper respiratory virus marked by cough and difficult breathing, RSV is the second leading cause of infant mortality in the U.S. This fall, the Centers for Disease Control and Prevention approved the first RSV vaccine to protect infants from severe RSV illness. Sean Diehl, Ph.D., associate professor of microbiology and molecular genetics at the University of Vermont, is a co-inventor of the patented technology that led to this preventative treatment—a process that began through research started in 2003. “Previously, there had been failed or dangerous RSV vaccines,” said Diehl, who was working as a postdoctoral fellow with immunology research pioneer Hergen Spits, Ph.D., at the University of Amsterdam in the Netherlands from 2003-2008. Their team’s research led to the development of a method for discovering antibodies against infectious diseases. When they began their research 20 years ago, Diehl and colleagues understood that after age two, people recover from RSV and have antibodies in their immune system. By adulthood, all healthy adults have antibodies against RSV. “Antibodies are like magnets that attach to viruses and render them unable to replicate, sort of like a lock and key specific to one virus,” Diehl explained. The researchers determined that it might be possible to harvest antibodies from adults. They recruited a healthy adult daycare worker and drew samples of their blood, from which they extracted B cells, a type of white blood cell that produces antibodies. B cells are not stable outside of the body, so Diehl and colleagues introduced a process to trick the cells into behaving like they were back in the immune system’s germinal centers, where the B cell activates and divides rapidly. After developing their unique process for growing B cells, the researchers determined that they could take cells from any adult and use high-throughput sequencing technology to screen for various cellular activities. This process could be used to “immortalize” B cells—manipulating them so that they reproduce in culture for up to a year, which was “enough time to find good antibodies,” explained Diehl. “With this technology, we were able to grow lots of them and find an antibody that was really good at blocking RSV.” The antibody drug, known as Beyfortus (nirsevimab), will be incorporated into the vaccination schedule for infants at an estimated cost of $600 for a single long-acting dose. It will be included in the CDC’s federally funded Vaccines for Children program for winter 2023. UVM L ARNER COLLEGE OF MEDICINE

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What’s Next? The Larner College of Medicine recently celebrated the 200th anniversary of its first class of medical graduates. As the seventh oldest medical school in the United States, it has witnessed significant changes not only in medicine and science but also in the dynamics of America and the world. BY ANGELA FERRANTE

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Established less than fifty years after America gained independence from British colonial rule, its history is intricately linked with the nation’s evolving landscape. The College’s narrative includes a diverse range of experiences, encompassing issues like wars, racism, and sexism that have left a lasting impact on society.

It wasn’t until the mid-nineteenth century that UVM, home to the Larner College of Medicine, opened its doors to any person of color. The College’s history, like that of the nation, bears the scars of a tumultuous past. While the earliest female UVM student walked to class in the spring of 1872, women were not admitted to medical school here until 1920. While the history of the Larner College of Medicine includes such jarring disparities, it is also punctuated by remarkable achievements and advancements; Thaddeus Stabholz, a survivor of six Nazi death camps and author of the book “Siedem Piekiet” (Seven Hells), a detailed memoir of his life during the Holocaust, entered the Class of 1953 at what was then known as the UVM College of Medicine. In 1962, during the height of America’s Civil Rights Movement and only a mere two years after a courtordered integration in New Orleans, Louisiana admitted Ruby Bridges—the first African American child to attend an all-white elementary school in the South—into William Frantz Elementary School, J.W. Clemmons, Ph.D., M.D., emeritus professor of pathology, joined the College as the second African American faculty member. An invaluable member of the community, Clemmons taught and conducted research at UVM for more than 30 years.

Embracing Change for Two Centuries While cherishing its traditions and history, Larner is not chained to the past, but is an institution that embraces change as an essential part of its identity to advance its mission. The College understands that health care is ever evolving, with advances in medical science, shifting patient demographics and changing societal norms to name but three dynamics continuously moving the goalposts. To excel in this landscape, Larner is committed to innovation. In a time of rapid change, Larner is determined to develop alongside the communities it serves, recognizing the importance of diversity in health care. The institution aims to reflect the changing demographics of its patient populations, understanding that inclusivity is a top priority that ultimately improves patient care and outcomes.

A Gift Fueling Innovation A generous gift in 2016 from Dr. Robert Larner, a Class of 1942 graduate, and his wife, Helen, accelerated the College’s transformation and enabled investments in cutting-edge technology, human capital, infrastructure, teaching methods, and curriculum. Their donation provided the College with the means to launch several key initiatives, including the digitization of the curriculum, the creation of innovative classrooms to facilitate active learning, the establishment of an advanced simulation center for clinical skill development, and the recruitment of an endowed Professor of Medical Education to lead the Teaching Academy. Their philanthropy has empowered countless aspiring physicians and biomedical researchers, emphasizing the transformative power of generosity.

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Moving Forward The Larner College of Medicine’s investments in education have produced impressive outcomes. Vermont ranks first in the nation for active patient care primary care physicians per capita and fifth in all physicians per capita, according to the AAMC State Physician Workforce Data Book (2019). Admission to the Larner College of Medicine is highly selective. In the class of 2027, only 124 students were enrolled from a pool of 8,569 applicants, ensuring that the institution continues to attract the best and brightest minds. As the Larner College of Medicine concludes its bicentennial celebration, it not only commemorates a rich history but also embraces a dynamic and evolving future. This journey carries the wisdom of the past and in a health care landscape marked by continuous transformation, the College has charted a visionary path forward, captured in four strategic priorities. They form the foundations upon which a future defined by clinical excellence, innovation in education, pioneering research, and unwavering community health will be built.

Clinical Excellence The Larner College of Medicine prioritizes clinical excellence through partnerships and collaborations with the UVM Health Network. The College integrates research and education into network departments, focusing on public health, population health, and value-based care. The HEALthy Brain and Child Development Study collects vital brain development data, extending its reach beyond Burlington. The Center on Rural Addiction offers “Clinician Office Hours” for substance use disorder expertise, now accessible to rural providers across the U.S. These initiatives reflect Larner’s commitment to improving healthcare access. Additionally, the College expanded the role of Director of Education to enhance clinical clerkships, graduate medical education, and interprofessional education. Larner’s unwavering commitment to clinical excellence aligns with their mission to provide top-notch care to their communities.

Education for the Future Larner focuses on educating and preparing future physicians, health care professionals and scientists, emphasizing core medical val-


ues while embracing a broader perspective. The College prioritizes interprofessional education and care to address complex health care challenges through multidisciplinary collaboration. The College’s Office of Medical Education (OME) encourages students to report professional behavior issues and commend exemplary conduct, promoting a positive learning and working environment. With confidential and anonymous reporting, students now submit eight times more commendations than concerns. The curriculum adapts to the changing health care landscape, covering various areas such as public health, big data analytics, social medicine, and telemedicine integration. Larner’s commitment is not just educational but providing a blueprint for future health care leaders navigating a complex landscape.

Advancing Research

The University of Vermont Cancer Center demonstrates its commitment through initiatives like the annual Women’s Health and Cancer Conference, a free educational event promoting cancer prevention, detection, treatment, and survivorship. Additionally, the Cancer Center provides free skin cancer checks at public events and collaborates with local partners, such as the Lake Monsters, a summer baseball team, to promote sun safety. Larner’s focus on improving healthcare delivery includes strengthening partnerships with the UVM Health Network and advocating for policies that advance public health and health equity. The College’s dedication to addressing social conditions, particularly in rural and racial health disparities, is ingrained throughout the institution, making community engagement more than just a mission; it’s a profound calling.

With research at the heart of the College’s academic community, and core of biomedical efforts, it constitutes a third strategic priority. The College hopes to inspire curiosity, foster innovation, and create a culture of continuous learning. Investments in vital infrastructure, including the Firestone Building, the Center for Biomedical Shared Resources (CBSR), and the Given Building renovation are especially crucial in rural Northern New England, where access to biomedical research resources is limited. The CBSR offers state-of-the-art facilities, fostering interdisciplinary collaboration and addressing regional research needs. It ensures access to essential resources and enhanced data processing and storage capabilities. Larner excels in mechanistic, translational, and clinical research while promoting innovation and entrepreneurship. Mentorship programs empower various stakeholders, and the College actively seeks partnerships to diversify research funding. This strategic objective aims not only to conduct research but to pioneer impactful advancements in health care and the future of medicine.

Embracing Diversity, Equity and Inclusion

Commitment to the Community

Tackling the biomedical challenges of the future will continue to drive the College forward to fulfill its mission. As the Larner College of Medicine embarks on a third century of clinical service, education and research, it remains committed to innovation shaping its direction; a future channeled from the past, filled with enthusiasm, ingenuity, resilience and determination for the journey ahead.

Larner’s community ties underscore its long-standing commitment to Vermont and New England’s well-being, drawing from the University of Vermont’s land-grant legacy. The College prioritizes accessible health care for all socioeconomic groups, using institutional knowledge to support local communities.

The Larner College of Medicine, the University of Vermont, and the UVM Health Network are deeply committed to diversity, equity, and inclusion (DEI). DEI is an integral part of their core values, with programs designed to support and retain students from diverse backgrounds and establish connections with diverse communities. The appointment of Katie Wells, M.D., M.P.H., as the inaugural director of social medicine in the Office of Medical Education, underscores the College’s ongoing commitment to addressing social medicine within medical education programs. In her role, she will collaborate closely with medical educators and colleagues in Larner’s OME, Office of Diversity, Equity, and Inclusion, Dean’s Advisory Committee on DEI, Medical Education Anti-Racism Task Force, and across the community and UVM Health Network. •••

A Continuing Journey

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Building Pathways to Medicine Student-led programs expand the pool of medical school applicants underrepresented in the profession. BY JANET ESSMAN FRANZ

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rowing up in a majority Hispanic neighborhood in the Bronx, Aissata Samake saw no Lantinx or Black physicians, nor any who understood her ethnicity and traditions. Samake, a woman of color, intends to go to medical school, but she admits to past feelings of doubt about her career choice. Having mentors who look like her has fostered her decision, she says. “A Black woman in medicine motivated me to keep proceeding on the path of medicine, even when I felt it was too hard,” Samake said, recalling an influential cell biology class professor. “It’s important that we have people of color supporting other, younger people of color, saying ‘you can do this, because I did it.’” Samake was one of 28 people participating in the third annual Look at Larner event at the University of Vermont September 7–9, 2023. This medical studentled outreach program aims to serve aspiring medical students from populations underrepresented in the profession of medicine, to help them envision their experience in medical school. Participants are in various phases of the medical admissions cycle, from undergraduate pre-med coursework, to preparing for the Medical College Admissions Test, to submitting applications. They interact with current medical students who are from backgrounds underrepresented in medicine, meet medical faculty, attend classes, receive admissions advice, and explore living in the Burlington area. First- through third-year medical students open their homes to host attendees. The event allows participants “to see themselves as part of our community, and practicing medicine in Vermont,” said Larner Class of 2026 medical student Shani Legore, one of three co-leaders of Look at Larner 2023 along with classmates Shrey Patel and Aina Rattu. Legore, who identifies as Afro-Caribbean, was a participant in the inaugural Look at Larner in 2021. At that time, she was in the process of applying to medical schools and “feeling frustrated with the cycle,” she said. Look at Larner offered support and direction she needed to complete the process and put her on the path to UVM: “I felt like I could see myself participating in active learning sessions, and I would be heard and seen. My vision of myself as a medical student became clearer.” 18

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Look at Larner is one of several programs designed to strengthen the pathway of students attending medical school for students from populations underrepresented in the profession of medicine. The Association of American Medical Colleges defines Underrepresented in Medicine (URiM) as racial and ethnic populations that are underrepresented in the medical profession relative to their numbers in the general population. Larner College of Medicine expands this definition to include sexual and gender minorities, those identifying as transgender or non-binary, and individuals from financially disadvantaged backgrounds. A similar program, URiM Pathway to Pediatrics, focuses on undergraduate students from underrepresented groups considering careers in pediatric medicine. Created by Class of 2024 medical students, this one-day event includes hands-on rotations in UVM’s Clinical Simulation Laboratory, with interactive simulations to practice colonoscopy, laparoscopy, and point-of-care ultrasound skills, care for a newborn baby, treat a child in respiratory distress, understand vital signs, and perform lumbar puncture. Current students guide participants through sessions, provide advice for pre-med coursework, and answer questions about applying to medical school. “Participants gain so much from hearing stories from those who are just a few steps farther along on their journey and how they overcame various challenges to get where they are now,” said L. E. Faricy, M.D., assistant professor of pediatrics, who serves as faculty organizer. Pathways to Pediatrics also includes a “Clinical Mystery Case” session led by Lewis First, M.D., M.S., professor and chair of the Department of Pediatrics. The department offers Pathways in Pediatric Education, a year-long preceptorship for interested pre-medical students from URiM backgrounds to continue their engagement with pediatric faculty. “Being able to introduce undergraduate college students who self-identify as under-represented to the field of child health is a meaningful experience for all involved. Many of these students stay in touch with people they met from our department, potentially helping to build a diverse pathway of future

Look at Larner participants shadowed medical students, participated in active learning sessions, and explored lecture halls and laboratories.


“ Being able to introduce undergraduate college students who self-identify as under-represented to the field of child health is a meaningful experience for all involved.” – LEWIS FIRST, M.D., M.S.

pediatricians and child health professionals,” First said. College graduates from URiM populations may be eligible for the Dean’s Medical Scholarship, which annually supports two students to participate in a 30-credit master’s in medical science program, designed to foster aspiring medical students in becoming stronger applicants. These students have completed all medical school admissions requirements but may need personalized advising to ensure success. Participants take graduate-level courses that parallel the Foundations Level curriculum, with option to complete the 30-credit program in person or online. Scholarship recipients are guaranteed admission to Larner if they maintain a minimum 3.0 GPA. The Visiting Scholars Student Elective Scholarship Program is a pathway to residency program providing scholarships for visiting fourth-year medical students from URiM backgrounds to attend a multi-week elective rotation at Larner and participate in a range

of cases at UVM Medical Center, mentored by faculty. The $2,500 stipend supports scholars’ travel and housing. Currently offered to students interested in matching into emergency medicine or orthopedics, the scholarship aims to increase awareness of training opportunities in these fields and encourage students from diverse backgrounds to apply for residency at UVM Medical Center. For Shani Legore, the personal connections she made during Look at Larner were the major reason she chose to attend UVM, and the experience inspired her to share her passions for mentorship as a Look at Larner leader. “As someone who was pulled up, I want to help pull others up as well, especially those who are from underrepresented in medicine and minority backgrounds,” she said. “If I can help give opportunities to those who identify as such and help them get a foot in the door, I feel I will be doing my life’s work.”

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SELECTIONS FROM

The Red Wheelbarrow THE LITERARY AND ARTS MAGAZINE OF THE UVM LARNER COLLEGE OF MEDICINE

JOHN RUSTAD

Class of 2026, He/Him Valley Junction Katherine Walsh, M.D., PCR Advisor

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ARNIE GORAN, M.D.’58 He/Him Larner College of Medicine Watertower

I want to apologize THUYMY-MICHELLE NGUYEN

Class of 2026, She/They Katherine Walsh, M.D., PCR Advisor

I want to apologize At this intersection, you are dazed The treatment from your fall gained you a new knee I ask for your story but At this intersection, your words elude you What only escapes instead is “You speak really good English” I want to apologize We are only meeting in passing The impact of your words run deeper than our interaction “You speak really good English” I used to wear that with pride. By age seven, I chased this sensation— Acceptance by exception. I want to apologize You will heal from this juncture But I can’t help to think At age sixteen, a white woman screaming “Speak English or leave!” My mom was just asking What it was I wanted for dinner How was my mother not shaking? Being told off caused by her native communication How did I not see “You speak really good English” Was an affront to our family? It brought tears to my mother’s eyes— Another way to lose her old life I want to apologize UVM L ARNER COLLEGE OF MEDICINE

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MALLORY STULTZ

Class of 2026, She/Her Self Expression Alison Fitzgerald, M.D., PCR Advisor

Red SARAH KOHL

Class of 2026 She/Her/Hers Caroline Hesko, M.D., PCR Advisor

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My life has always been defined by red. I remember the red hamper when I was young. I remember being dropped out of it and hitting my head. And then I don’t remember. My world is now on fire. Yellow and crimson flames lick at the house I grew up in, the only home I had known until this point. The nightmares about the heat and smoke have not stopped, even 50 years later. I have been running from the fire my whole life, and now my son runs toward it, braver than I will ever be. My children astonish me every day with their strength, despite how they grew up. I stayed with their mother longer than I should have, longer than I could have. Sickness was no excuse for the searing abuse hurled at my children. I stayed to protect them. Fiery, red anger fills me now.

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This fire is different from what keeps me from what I love doing most in this world. The rush of pinning my opponent to the mat is unlike any other. Feeling the tension of a joint as I twist it, almost to the breaking point. But the pain. Every joint, every muscle aching, keeping me from my passion. I clutch at my chest, the burning now inside of me. Ruby blood pumps through my arteries, blocked from where needed most. I can leave soon and will continue my scarlet-tinged life. But soon I will be defined by blues, browns, and greens. I will go home to my farm and my animals and my plants. And no more red.


To Listen IAN STROHBEHN

Class of 2026, He/Him Frank Ittleman, M.D., PCR Advisor

SOFIA TORO ALVAREZ

Class of 2025, She/Her/Hers Pain Takes the Crown (right); I’ve... Had... Enough of This

So many twists and turns Had brought Richard to where he was now Sitting in a room on Miller 3 Long wispy white hair and beard Keeping warm under a blanket We could have talked about his hospital stay How aneurysms in both legs required surgery What medications he was on If he liked the hospital food But instead we talked about his winding path His time at Goddard College Where he ran not one but two radio shows And befriended the future members of Phish But was later kicked out We talked about his life afterwards His odd jobs His mental health diagnoses His loss of two close friends to overdoses His loneliness Mostly we talked about what kept him going Where he said little about other things He gushed about music The many bands he had seen live The instruments he played The differences in sound quality Between then versus now He described music in ways I had never heard But that made complete sense when he said them Like how music can sound Like the items towards the front of a shop window Or like the items far in the back Despite his arduous life More difficult than anything I had endured He had something that made it worthwhile And I wondered What would be my one thing If I were in his shoes? His life will still be hard after leaving the hospital No car to drive to the grocery store Limited mobility to get to the bus Few friends to help him out I wanted to lend a hand But all I could do was listen

KYM BOYMAN, M.D.’99

She/Her Tranquility

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rs: a l o h c S r e Summ ch r a e s e R o t ve in i D s t n e d u Medical St Fr a n z By Janet E

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ssman


k

e d a s s u o M a j Khadi

l l e b p m a C y Aver

s g n i t s a H r Tyle

b e Z s i r a a H Muhammad

n a i h s i m e M y Wend

r e l u h c S a n Susan

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For Larner College of Medicine students, scholarship and inquiry take place year-round. During summer, many rising second-year students participate in a research fellowship. They choose their topics based on personal passions and, under the guidance of expert faculty, immerse themselves in tackling medical puzzles and unmet health needs among marginalized communities. Read about their research.

Khadija Moussadek

Health Care Provider Education: Preventing Suicide in Adolescents In 2019, Khadija Moussadek lost a close friend to suicide. “The day she died, I went to her family’s house, and her mother told me my friend had just seen the pediatrician. The pediatrician said, ‘How did I miss this?’” said Moussadek, recalling a statistic she had seen that one-third of those who died by suicide had seen a physician in the month immediately preceding their death. “That stuck with me. I thought, ‘we have to do better.’” Moussadek’s project aims to help physicians prevent suicide by identifying and intervening in patients’ self-harming behavior, which is an upstream risk for later suicide attempts. Self-harming behaviors can include intentional self-poisoning, cutting, and burning. While mental health professionals are typically trained to identify these behaviors, other health care professionals may not be prepared, Moussadek said. To address these deficits, Moussadek developed a learning module with a screening tool providers can use to identify self-harming behaviors among their patients and a script for broaching a potentially difficult conversation with a patient suspected of expressing self-harming behaviors. It also includes clinical scenarios that model patients who are self-harming and instructional quizzes that assess providers’ preparedness for recognizing suicidal ideation. After piloting the toolkit with local primary care providers, Moussadek devised a dissemination plan for statewide distribution.

Avery Campbell

Hepatocyte Growth Factor and Cognitive Impairment Risk Growing up in North Carolina, Avery Campbell knew people affected by stroke and cognitive impairment. The southeastern U.S. is known as the “stroke belt” because of the high incidence stroke, related cardiovascular disease and cognitive impairment. For Campbell, this is personal: His maternal grandmother suffered a stroke, and both paternal grandparents had severe dementia. “It was devastating to our family,” Campbell said, “and stories like mine will only become more common. The prevalence of cognitive impairment is expected to balloon with increasing life expectancy, and it disproportionately affects minoritized communities.” For his project, Campbell investigated cognitive impairment among Black versus White adults, among pre- versus postmenopausal women, and among men younger than versus older than age 55. He focused on the biomarker hepatocyte growth factor (HGF), which plays a role in organ and vascular repair after injury. HGF level correlates with inflammatory conditions like vascular

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disease, and higher HGF levels are associated with stroke risk. Campbell examined data from an ongoing national study, Reasons for Geographic and Racial Differences in Stroke (REGARDS), which follows more than 30,000 Americans to understand why Black Americans and southerners have higher rates of cardiovascular diseases affecting brain health. Campbell used HGF measurements in a nested case-control study of 1000 REGARDS participants, half with cognitive impairments and half without. He hypothesized that the association of HGF with cognitive impairment is greater in Black than White adults, greater among younger than older men, and greater in premenopausal than postmenopausal women. Using the REGARDS data, he created regression models to test each hypothesis. “Identifying and characterizing the relationship between HGF and cognitive impairment is the first step towards exploring its utility in prevention, prognostication, and treatment,” Campbell said.

Tyler Hastings

Examining Challenges, Eliciting Perspectives on Mental Health Emergency Care in Pre-Hospital Settings Before attending medical school, Tyler Hastings worked as an advanced emergency medical technician in Utah. It disturbed him that so many patients he transported to the hospital were experiencing mental illness events that could have been resolved on-site, rather than in the emergency department (ED). “Mental illness is on the rise everywhere, among all age groups,” Hastings said. “People see a family member or friend experiencing an episode and they don’t know what to do, so they call 9-1-1. The ambulance can’t just leave the person there, so we taxi them to the ED. It’s straining for the patient, the family, and the ED staff who may have seen the same patient previously for the same thing.” The costs of ambulance transport and ED care create additional burdens for patients and families. To help change this pattern, Hastings evaluated training of emergency medical technicians (EMTs) and paramedics in Vermont for encounters involving patients with mental illness and resources for treating those patients on-site. Hastings worked with Vermont Emergency Medical Services (EMS) Office to recruit EMTs and paramedics for interviews. He developed questions to assess whether they feel their training prepared them to care for patients with psychological conditions. He looked for gaps in scope and ability of EMS providers, and presented his findings to the Vermont EMS Office. His goal is to catalyze change locally, and spark interest nationally. “Advancements have been made in other areas of emergency care—cardiac arrest, stroke, bleeding—but mental health is a gray area,” Hastings said. “With recent uptrends in mentally ill patients, I’m hoping to see that EMTs are wellequipped to treat them.”


Muhammad Haaris Zeb

Supporting Culturally Appropriate Assessment and Response to Mental Health Challenges in Afghanistan Refugee Populations in Vermont Mental health and suicide are difficult topics for many people, but in certain cultures, these subjects are taboo. Within many central Asian cultures, talking about suicidal feelings is frowned upon, so individuals who need help typically hide their feelings. Muhammad Zeb understands this well. His uncle committed suicide, and his family, who are Pakistani, avoided talking about what happened. “It was a big lesson for me. This problem can happen to anyone, and we must not push it under the rug,” Zeb said. At UVM, Zeb has an opportunity to examine this issue among Afghan refugees. An increasing number of individuals forced to flee their homelands are resettling in Vermont. Post-traumatic stress, social isolation, racism, unemployment, and language barriers elevate refugees’ risk for depression and suicidal ideation. Afghani and Pakistani cultures parallel, and Zeb can support health care providers in understanding their Afghani patients’ cultural norms. “A lot of refugees aren’t literate, so existing screening methods done in the primary care office are useless,” Zeb said. “The language on screening forms may not be familiar, or the patient may be scared to check boxes because they fear it creates an issue for their staying in the U.S.” Zeb assessed gaps in mental health resources and identified cultural barriers among Afghanistan refugees, via literature reviews and interviews with experts in the field of refugee care. With this information, Zeb designed an interactive, web-based, educational module on mental health for providers working with Afghan refugees.

Wendy Memishian

Cerebral Blood Flow Autoregulation in Adult Offspring from Preeclamptic Mothers and Effects of Sevoflurane Wendy Memishian feels at home in a laboratory working with instruments and animals. While an undergraduate biology major at Bates College, Memishian investigated the physiology of respiration in embryonic quail, measuring changes in their breath while she adjusted oxygen levels inside egg-infusing respirators. Post-graduation, she conducted cancer research with mice. Now, she wants to know more about brains and cardiovascular systems. For her project, Memishian investigated cerebral blood flow autoregulation—the ability of brain blood vessels to maintain blood flow over a range of blood pressures—during surgery under a commonly used anesthetic called sevoflurane. Preeclampsia is a serious hypertensive disorder of pregnancy with long-term cardiovascular effects for mothers and offspring across their lifespan, including organ damage and increased risk of stroke. Preeclampsia pregnancies affect one in seven hospital deliveries, representing 16 percent of human births. It is known

that sevoflurane affects cerebral blood flow autoregulation. In most people this is easy to control, but in adults born from preeclamptic mothers, sevoflurane can cause cerebrovascular dysfunction that persists into adulthood. The impacts are poorly understood. To examine the impacts, Memishian performed surgery on adult rats born from preeclamptic mothers. She used sevoflurane anesthesia and provided ventilation to maintain a normal oxygen input and carbon dioxide output. As she administered a drug to increase blood pressure, she monitored blood pressure and oxygen levels. Memishian wrapped up her project by comparing brain blood flow between preeclamptic and non-preeclamptic offspring, writing a report, and preparing a poster for a presentation. She’s working toward getting her research published and presenting at a national conference.

Susanna Schuler

Connectional Silence in Telemedicine-Facilitated Palliative Care Conversations Susanna Schuler investigated palliative care conversations between clinicians and patients receiving dialysis treatments for kidney failure. Palliative care conversations take place when patients have serious illness, to help them think through important decisions and focus on what matters most to them. “It’s not so common to have these conversations with patients with kidney disease. Dialysis is like a limbo stage, keeping them alive,” Schuler said, adding that the three- to five-hour process occurs up to four times weekly and can leave patients feeling exhausted and powerless. Schuler’s research followed prior studies that identified “connectional silence” within palliative care conversations and concluded that silent moments in conversations were associated with the patient feeling heard and understood, which is associated with better outcomes. Schuler’s project was novel, in that the conversations occurred during telemedicine visits, rather than in person. Her project aimed to provide insight into how serious illness conversations via telemedicine may be different, how patients receiving dialysis engage with palliative care, and how clinicians can support patients feeling heard and understood. She examined videos in which palliative care clinicians spoke with the patients while they received dialysis. She listened for pauses in their conversations and looked for gestures including smiling, leaning, nodding, and eye contact, which can facilitate connection and empathy. Schuler concluded that patients enjoyed having meaningful conversations during dialysis treatment, and they felt heard and understood. “They seemed excited to have someone to talk to while getting dialysis,” she said, noting that the conversations touched on the patients’ thoughts about ending dialysis, which will lead to death. “For someone who has been on dialysis for many years, it is powerful for them to be able to make informed decisions for themselves.”

Summer research fellowships are supported by the Larner College of Medicine Fund, Cardiovascular Research Institute, UVM Cancer Center, and Four Pines Fellowship in Suicide and Self-Harm Prevention.

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Renaissance Man

Where art and science meet. An interview with Vito Imbasciani, M.D.’85, Ph.D. In 2014, Vito D. Imbasciani, M.D.’85, Ph.D. and George DiSalvo made a gift to create the first endowed lectureship in the United States focused on preparing culturally competent physicians who can provide medical care and prevention services that are specific to LGBTQ populations. This fall was the tenth annual Imbasciani/DiSalvo lecture and the featured speaker was Dallas Ducar, M.S.N., APRN. As Dr. Imbasciani and Mr. DiSalvo were able to attend in person, we took the opportunity to sit down with Dr. Imbasciani to reflect on his life and career. Where are you from and how did you end up at UVM to get your medical degree? VI: I was born in the Hudson Valley, but my four grandparents came from Italy. After World War I, one of my grandfathers discovered a passion for music and joined John Phillips Sousa’s military band. He settled at West Point, where I later worked during high school and college summers. I attended Cornell for my master’s and doctorate degrees, initially as a pre-med student but eventually pursuing a music major. Both degrees focused on music, leading to a Fulbright in Rome. I later taught music at Middlebury College, but my interest in medicine persisted. Taking a chance, I drove 35 miles to the University of Vermont and had a transformative interview with the dean of admissions. Despite

my unconventional humanities background, she accepted me. Today, I’m here—thanks to that chance she took on me. Any early career decisions/speed bumps that you had to navigate? VI: Deciding to pursue medicine after a humanities-focused academic career, I had to catch up on the science. I took a postbaccalaureate year to meet the admissions requirements, alongside a position in the pathology department focusing on neurodegenerative diseases. While I didn’t choose pathology, my work there influenced my role as the chairman of the board of the California Institute of Regenerative Medicine, which addresses degenerative and other processes of the brain and spinal cord, among many other diseases.

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How did these early career choices affect where you studied and your path through medicine? VI: Initially, I considered combining my music Ph.D. with neurology. I planned a rotation at Harvard with a prominent neurologist but couldn’t, due to his unexpected death. This led me to explore urology, where I fell in love with the field. My journey continued with a urologic surgery residency at Yale, and shortly after, I found myself in Saudi Arabia during the Gulf War as an Army Medical Corps captain. Following the war, I started practicing urology in Los Angeles. A few years later, an earthquake destroyed my rental property, making me humorously consider myself a Californian by virtue of natural disasters, including the Gulf War and eventually, COVID-19. Have you found a way to incorporate music into your medical practice? VI: It’s very difficult to translate what I did in my doctoral research working with 11th century Latin manuscripts in the depths of the Vatican archives, into clinical practice. However, this academic journey brought me two significant benefits. Firstly, my Fulbright experience in Italy ignited a passion for travel, respect for diverse cultures, and a love for languages. I now speak eight languages and can read four more. Secondly, a Ph.D. equips you with the skills to conduct high-level research, assess existing knowledge, and ask critical questions. You’re taught to amass the materials to apply a critical apparatus to solving problems. And it works. People can use that advanced degree to do many, many different things. So, while I may not use music in my waiting room, I bring the valuable skills and experiences gained from my academic pursuits with me. Did your wartime deployments and experiences change you as a person and as a physician? VI: I felt a strong commitment to serve my country, a tradition passed down through generations in my family. My journey began with medical training at UVM College of Medicine and Yale, followed by a rewarding career as a war surgeon in the military. I continued my service even during the “Don’t ask, Don’t tell” era, driven by the desire to provide the best medical care to our nation’s finest. My military experience paved the way for a diverse career, including leadership roles in medical associations, the California Army National Guard, and government advisory committees. Notably, I served as Secretary of Veterans Affairs under Governor Brown, a position continued by Governor Newsom. In total, I spent eight years in California’s Governors’ cabinets and currently chair the Institute of Regenerative Medicine under Governor Newsom. Out of those horrors of war, there’s a good that came out of it? VI: Yes. As California’s Secretary of Veterans Affairs for eight years, I had the privilege of serving the needs of 1.6 million veterans. My combat experience revealed 30

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the profound impact of modern warfare on the human brain, contributing to the challenges faced by returning veterans. While not all veterans return with physical injuries, many carry emotional and psychological burdens. The demand for care is substantial, especially as this is the first war since the American Revolution where the leading cause of death is not thoracic or abdominal injuries, thanks to improved bleeding control. Many soldiers now survive but with injuries “above the clavicles,” including PTSD, chronic brain encephalopathy, traumatic brain injury, spinal cord injury, and limb loss.

“ My combat experience revealed the profound impact of modern warfare on the human brain, contributing to the challenges faced by returning veterans.” – VITO IMBASCIANI, M.D.’85, PH.D.

Do you feel that those inclusive advances that were made in the military are being maintained and built upon or going in another direction? VI: With 27 years of service in the Army Medical Corps, including combat deployments, and now a decade as a retired colonel, I have a unique perspective. I worked behind the scenes to end the discriminatory policy against gay and lesbian individuals serving in the military. Despite initial resistance, significant progress was made, with the military now, in many ways, more inclusive than general society. Since the policy shift under President Obama, your sexual orientation, and, to some extent, your sexual identity, no longer impact your eligibility to serve the country in uniform. A defining moment in my career came during President Obama’s 2012 reelection campaign when he publicly acknowledged and thanked me. I introduced him to a large audience, emphasizing that he was not just the president but also my commander-in-chief. In his speech, he extensively thanked me for my contributions to ending the discriminatory policy, effectively concluding it for the military. You’ve held academic teaching positions as well as continuing to practice medicine. Do you enjoy one over the other or is it kind of a tie? VI: The age-old question of whether practicing or teaching medicine is more enjoyable is a challenging one. I happen to love both. When I’m not practicing, I miss teaching, and the reverse is also true. William Osler, a prominent American physician, wisely said, “To practice medicine without studying it is like going to sea without


(L-R) Dean Richard L. Page, M.D., Vito Imbasciani, M.D.’85, Ph.D., and George DiSalvo

nautical charts. But to study medicine without practicing is not to go to sea at all.” I hold a profound passion for teaching, and even at an age when many physicians retire or consider it, I do not anticipate giving up clinical practice as long as I am able. Knowing what you know now, what’s the one piece of advice you’d give a medical student who’s about to graduate? VI: You are all intelligent and blessed individuals, ready to embark on your journey into the world. However, isolation isn’t the path. You are assets to your community, your state, and your nation. You have a duty to engage in public health discussions, whether it’s vaccinations, women’s health, or other crucial topics. Early involvement is key. Join your local and state

“ To practice at your best and serve more patients, you must influence the legislative process, achieved by raising your voice and actively participating at county and state medical society levels.” – VITO IMBASCIANI, M.D.’85, PH.D.

medical societies. Remember, practicing medicine isn’t simply because you’re intelligent, your parents desired it, or you earned an M.D. from Larner or finished a prestigious residency. It’s your state legislature that allows you to practice medicine. To practice at your best and serve more patients, you must influence the legislative process, achieved by raising your voice and actively participating at county and state medical society levels. Why is giving back so important, so meaningful for you? VI: Supporting the College of Medicine brings me immense satisfaction, and as a token of my gratitude, I want to give back. I’m deeply thankful to the late Dean of Admissions Carol Phillips, M.D., who admitted me with a humanities Ph.D., recognizing something special in me. I thank her, the faculty, and the College of Medicine for adding those two letters, “M.D.,” after my name. My significant life achievements, from becoming a surgeon and war surgeon to serving in government and treating entire populations, all stem from earning my M.D. from UVM College of Medicine. From caring for California’s veterans to my role as the Stem Cell Agency director, responsible for funding research into genetic and stem cell cures for millions of Californians and potentially all Americans, none of this would have been possible without my medical education. So, I give back while I’m still alive to savor the joy over the years.

This interview was edited for length.

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HALL A

NEWS & NOTES FOR ALUMNI

As a scientist and faculty member at the UVM Larner College of Medicine, PRESIDENT’S I was delighted to attend the College’s CORNER recent “Dean’s Celebration of Excellence in Research.” The event is a weeklong celebration dedicated to showcasing the exceptional research endeavors of faculty, research fellows, and graduate students at UVM and Larner, including an awards ceremony. As research is at the core of our academic community, aside from the many outstanding speakers and sessions I attended I was particularly encouraged to see the emergence and recognition of several early career investigators who compose the next generation of UVM researchers. It is exciting to see an accelerating research culture at the Larner College of Medicine. This acceleration is due, in no small part, to our dedicated alumni. Thanks to our Mary Cushman, M.D.'89, M.Sc. alumni, more medical students than ever are participating President, University of Vermont Larner in research projects in-between their first and second College of Medicine Alumni Association years, and they are also increasingly presenting their work at conferences across the country. Thanks to alumni support, including the generosity of Steve Firestone, M.D.’69, one year ago we opened the new state-of-the-art Firestone Medical Research Building, which allows us to easily collaborate across disciplines and to attract outstanding new faculty and students focused on discovering new insights and treatments. Another example of the impact of alumni support is the Martin E. Bloomfield, M.D.’60, and Judith S. Bloomfield ’59 Early Career Professorship in Cardiovascular Research, which was awarded this year to Osama Harraz, Ph.D., assistant professor of pharmacology. Before him, this professorship was held by our alumnus Timothy Plante, M.D.’11. Dr. Harraz’s research focuses on the control of cerebral blood flow and vascular signaling. This philanthropic support allows him to build his own laboratory and recruit junior investigators and personnel to join his team. This model of strong support for early phase faculty enables them to grow the research mission by obtaining additional grants, attract new students and postdoctoral fellows, and pursue cutting-edge research here at UVM. The integration of research into our medical mission is vital to the long-term success of our College as we support the next generation of world-class researchers on major scientific and health issues. This is good for UVM, the Larner College of Medicine, the UVM Health Network, and our community. It allows us to bring cutting-edge care to our patients, and to support our Vermont economy through development of a skilled workforce in our labs. I am also pleased that our Larner Alumni Executive Committee continues to grow its representation of and connection to our graduate alumni and graduate students. We are all contributing to the advancement of our shared mission. The more we collaborate and support each other, the more we will collectively achieve in the nearand long-term. I hope you will join me in supporting our research efforts and the education of our students in whatever way is most meaningful for you. Thank you for everything you do to support your biomedical community, patients, profession, and Larner College of Medicine.

mary.cushman@med.uvm.edu @MaryCushmanMD

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UVM Larner College of Medicine Alumni Association Alumni Executive Committee Officers (Two-Year Terms) President Mary Cushman, M.D.'89, M.Sc. (2022–2024) President-Elect Michael D. Upton, M.D.'94 (2022–2024) Secretary Heidi Schumacher, M.D.'10 (2022–2024) Executive Secretary John Tampas, M.D.'54 (Ongoing) Members-at-Large (Six-Year Terms) JJ Bivona, Ph.D.'21 (2022–2028) Annie Coates, M.D.'07 (2018–2024) Brian Cuniff, Ph.D.'14 (2020–2026) Seth Dorsky, M.D.'10 (2020–2026) Janice M. Gallant, M.D.'89 (2021–2027) Danie Leahy, M.D.'17 (2018–2024) Gus Papadakis, M.D.'92 (2018–2024) Anand Parthasarathy, M.D.'02 (2022–2028) Cordelia Ross, M.D.'16 (2022–2028) Pramila R. Yadav, M.D.'99 (2021–2027) Ex-Officio Members Richard L. Page, M.D., Dean Ginger Lubkowitz, UVM Foundation


HALL A CLASS NOTES

STAY CONNECTED! UVM Connect allows graduates across the University to join groups based on interests or affinity. There’s a UVM Larner College of Medicine specific networking area you may find very valuable. Stay connected at: uvmconnect.org

Share your news or updated contact information at go.uvm.edu/infoupdate. Contact your class agent, or the Larner Development & Alumni Relations office at medalumni.relations@med.uvm.edu or 802-656-4014.

1960s REUNION 2023: 1963 + 1968

Arnold Kerzner writes: Hi dear ’63 1963 classmates. Joan (‘63) and I have just celebrated our 60th-and going strong (she’s a Saint!). I’m unable to retire from Child Psych as I just love working with children and their families. Next year, I’ll continue as a supervisor in a school for Kids on the Spectrum (Lighthouse School in North Chelmsford, MA). Life goes on and on, but memories of our time together at UVM never fades. Stay in touch. Arnie.

Jeffrie B. Felter writes:

’68 Greetings to fellow College of

Arts and Sciences alums from 1964, and Larner College of Medicine alums from the class of 1968.

1970s REUNION 2023: 1973 + 1978

Jim Betts writes: Yikes! Where

’73 have those decades gone? So

35TH ANNUAL EASTERN WINTER DERMATOLOGY CONFERENCE February 1–4, 2024 • Stowe, Vermont

many years have passed since I left Vermont to complete residencies and settle in Oakland, California to practice pediatric surgery. I’m still at the hospital, taking calls and enjoy caring for the surgical needs of children. Ours is a safety-net, mission-based facility, now merged into the University of California San Francisco system. We are a Level 1 Pediatric Trauma Center; we keep our doors open for any child and their families in this extremely diverse Oakland community. I still serve as a volunteer firefighter in Big Sur (a magnificent area 3 hours south of Oakland), where I have a small residence, and deploy as a tactical physician with the San Francisco FBI SWAT team. It is an honor and privilege to serve in the medical field, fire and with the Bureau. As for UVM, there are so many changes and on-going projects from the time when I was there completing my eight-year tenure for undergraduate and medical studies. UVM remains one of the state universities with the lowest state support in the country. I urge you to return to campus, and also to donate to your college or program in recognition of the education you received. I hope to have seen you at the reunion by the time you read this.

HOSPITAL MEDICINE February 7–9, 2024 • Stowe, Vermont

’73 to action! He urges LCOM

Jamie J. Jacobs writes:

’65 We have finished Finland,

Sweden, and Denmark and we are now on our way from Oslo to Bergen, Norway. After a spectacular train ride through the mountains, we are currently on a boat. On the way home we will spend three days in Paris.

UVM CONTINUING MEDICAL AND INTERPROFESSIONAL EDUCATION EMERGENCY MEDICINE UPDATE January 16–19, 2024 • Stowe, Vermont

CONFERENCES ARE PLANNED FOR IN-PERSON, SUBJECT TO CHANGE

For Information Contact: UNIVERSITY OF VERMONT CONTINUING MEDICAL AND INTERPROFESSIONAL EDUCATION 401 Water Tower Circle, Suite 102 • Colchester, VT 05446 802-656-2292 • UVMCMIE@med.uvm.edu • med.uvm.edu/cmie

1980s REUNION 2023: 1983 + 1988

Robert M. Kershner writes: I

’80 am pleased to inform you that

my latest book, Seeing for Life-Clear Vision to Age 88 and Beyond is now available in print and as an e-book. (https://www.amazon.com/ Seeing-Life-Clear-Vision-Beyond/ dp/1092175547). Feel free to inform fellow alumni in the magazine (after all, we are all in this age category now)! Best regards.

1990s REUNION 2023: 1993 + 1998

Steven Battaglia writes:

’97 Although Huntington Ear Nose

Throat Head and Neck Specialists remains my primary focus, I am now expanding into esthetics and wellness. Together with my wife, we founded Essentia Esthetics in Pasadena, a full-service skincare facility. Early in 2024, we will expand to include yoga spaces, a comprehensive healthy eating center, and a modern meditation facility. It is an exciting time indeed. I continue to surf on weekends at Huntington Beach, but my latest passions are meditation and pickle ball. Stacy Potts has been

’98 appointed senior associate

dean for graduate medical education and clinical affairs at UMass Chan in Worcester, MA. Dr. Potts has been with UMass Chan for 25 years and, prior to her appointment, served as the vice chair of education in the Department of Family Medicine & Community Health.

Lee Jacobs calls retired alumni

alumni to follow his lead and volunteer at safety net clinics in their communities. He notes that there are many uninsured and under-insured patients who cannot afford copays who need your help. Find clinics in your area at https:// nafcclinics.org. Dr. Jacobs is CMO of Bethesda Community Clinic (www. bcccherokee.com) in Canton, GA.

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DEVELOPMENT NEWS

MEDICAL DEVELOPMENT AND ALUMNI RELATIONS

Dan LeClair

NEW LEADERSHIP

HONORING OUR HEALTHCARE WORKFORCE

As a tribute to our health care workers and in recognition of the capacity of art to promote wellness and healing, a sculpture titled “Hearts and Hands” now resides near the McClure elevators on the 3rd floor of the UVM Medical Center. A respected and generous local family commissioned the sculpture from artist Jim Sardonis and gifted it to the UVM Medical Center in July 2023. “Hearts and Hands” recognizes the vast and varied contributions of our healthcare workforce during the pandemic from 2019–2023 and represents our community’s profound gratitude.

FELLOWSHIP EXPANDS SUICIDE PREVENTION AND TREATMENT EXPERTISE Millions of Americans experience symptoms of a mental health condition each year, and the number of people seeking care is trending upward. With this backdrop, UVM has created a fellowship to provide suicide prevention-specific training and research opportunities to emerging health care providers. The Four Pines Fellowship for Excellence in Suicide Prevention and Treatment was envisioned by Thomas Delaney, Ph.D., associate professor at the Larner Thomas Delaney, Ph.D. College of Medicine and mental health researcher, and created with philanthropic support from the Four Pines Fund, and is the first of its kind. Both Dr. Delaney and the Four Pines Fund see this fellowship serving as a model for others across the nation. “Recent studies show that as many as 80% of individuals who went on to die by suicide saw a health care provider in the months before dying, and strengthening providers’ skills around identifying and responding to suicide risk is a crucial public health strategy for reducing suicide attempt and death rates” said Delaney. “The Four Pines Fellowship is an opportunity for medical and other health care students at UVM, to develop knowledge and skills for addressing suicide and self-harming behaviors, gaining research and clinical experience that will prepare them to be leaders in suicide prevention as they become independent practitioners.” 34

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Dan LeClair was recently named to the position of Executive Director of Alumni and Donor Relations for the UVM Larner College of Medicine. Previously, Dan spent five years serving as the Director of Donor Relations for Middlebury College. Prior to his time at Middlebury, Dan also served as the Director of Development for 1% for the Planet, an international environmental nonprofit headquartered in Burlington, Vermont. Earlier in his career, Dan was a development professional with Kimball Union Academy (Meriden, New Hampshire) and with the George Washington University (Washington, DC). Originally from Lebanon, New Hampshire, Dan is also a 2005 graduate from George Washington University. He and his wife, Addy, live in South Burlington with their dog, Onyx. The couple enjoy cycling, hiking, and otherwise staying active through travel and outdoor recreation.

The University of Vermont Larner College of Medicine Medical Development & Alumni Relations Office (802) 656-4014 medical.giving@uvm.edu med.uvm.edu/alumni


REUNION

Reunion 2023 Fall Fun! Alumni returned to campus for Reunion 2023, where they caught up with classmates and college news through many events including the 50th Reunion Medallion Ceremony and luncheon, medical student led tours of the College and the Firestone Medical Research Building, the 2023 Larner College of Medicine Alumni Association Awards Ceremony, a celebratory picnic, and discussions with College staff, faculty, and leadership.

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2023 UVM LARNER COLLEGE OF MEDICINE ALUMNI ASSOCIATION AWARDS The UVM Larner College of Medicine Alumni Association Awards are presented every year at the Celebration of Achievements Awards Ceremony during reunion weekend. More details about the awardees can be found at go.uvm.edu/lcomawards

A. BRADLEY SOULE AWARD Presented to an alumnus/a whose loyalty and dedication to the Larner College of Medicine most emulate those qualities as found in its first recipient, A. Bradley Soule, M.D.’28.

DR. JOHN MCGILL is the second generation UVM medical alumnus who remembers his dad, Dr. J. Bishop McGill, a 1946 graduate of the UVM College of Medicine, hustling over the hill from his home on East Avenue to make rounds on his surgical patients. John also remembers “Bish,” after answering several phone calls about a new admission, counseling the resident: “When all else fails, go back and re-examine the patient.”

John McGill, M.D.’78

As a pre-med at Williams College, John envisioned Emergency Medicine Physician, Hennepin following his father‘s footsteps in surgery. At the County Medical Center, Minneapolis, MN beginning of his senior year, however, he and his two roommates decided to travel rather than proceed directly to graduate education. They worked construction to pay for what became a year and a half trip swinging as far north as the Arctic Circle in Norway and descending south to the Cape of Good Hope in South Africa. It was the greatest learning experience of his lifetime, opening up his mind to the world at large and setting the stage for much that followed. Back in Burlington and joining his UVM medical Class of 1978, John was looking forward to the study of medicine. In short, his class, and the total experience, was exemplary. A special attribute was curriculum flexibility which allowed John and a classmate to spend the last months of school rotating in clinics in rural Jamaica and the high mountains of Peru. Emergency medicine was emerging as a specialty in the Midwest and its variety and unpredictability attracted Dr. McGill to the county hospital residency in Minneapolis (HCMC). Dr. McGill finished his residency and stayed on as faculty, but soon joined a small group of EM trained physicians from the U.S. to address the rising toll of highway deaths in Saudi Arabia. While there, he heard about a French group, Medecins Sans Frontieres, that was providing medical care to rural Afghanistan devastated by the terror and destruction of the Soviet military. After trips to the Pakistan-Afghan border and Paris, Dr. McGill joined MSF on a mission to resupply and treat Afghans at one of their clinics near the Soviet border, becoming the first American physician to work with the relief organization. Returning to Pakistan, Dr. McGill led a committee to standardize basic medical education and medical supplies given to selected Afghans returning to their villages. When the Soviets withdrew, he returned to Minnesota as an attending in the EM residency, and in 1990 helped launch the U.S. section of Doctors Without Borders. He was president of the board of directors when the international organization received the 1999 Nobel Peace Prize. Dr. McGill was awarded an honorary Doctorate of Science degree from the University of Vermont in recognition of his work with MSF. He gave the UVM College of Medicine’s 1999 Commencement address in which he emphasized the irreplaceable value of compassion and the importance of doctor-patient interaction in every setting. In addition to teaching and patient care, Dr. McGill developed an interest in airway management. While writing a textbook chapter, he saw a reference to a simple device—the bougie—that had been used successfully by the British to intubate for decades but was unheralded outside the Commonwealth. In the ensuing 20 years, Dr. McGill studied it in detail. Using the bougie with a videolaryngoscope, Hennepin published first pass intubation success rates that were higher than any reported in the literature. Dr. McGill followed emergency medicine at UVM as it grew in size, expertise and responsibility, pivotally establishing the EM residency in 2019. In 2022, after many years of support for the College of Medicine, Dr. McGill honored his father by establishing the J. Bishop McGill, M.D.’46, Chair of Emergency Medicine. Dr. McGill championed two innovations that became standard-of-care: outpatient surgery and inguinal hernia repair under local anesthesia. The purpose of the Chair is to continue Bish’s legacy by focusing on innovative practices that improve patient outcomes while lowering or containing healthcare costs. Dr. McGill has demonstrated loyalty, dedication and compassion not only to the College of Medicine, but to patients around the world.

ROBERT LARNER, M.D.’42 STUDENT AWARD Presented to a current student(s) for their outstanding leadership and loyalty to the College and one who embodies Dr. Larner’s dedication to not only supporting his medical alma mater, but to inspiring others to do so as well.

Anneliese Lapides UVM Larner College of Medicine, Class of 2024

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DISTINGUISHED ACADEMIC ACHIEVEMENT AWARD Presented to alumni in recognition of outstanding scientific or academic achievement.

Jared D. Christensen, M.D.’03, MBA

Meagan Costedio, M.D.’03, FACS, FASCRS

Professor and Vice Chair, Department of Radiology, Duke University; Founder and Imaging Director, Duke Lung Screening Program; Chair, American College of Radiology Lung-RADS Committee

Chair of Surgery and Medical Director of Colorectal Surgery, University Hospitals Ahuja Medical Center, Beachwood, OH; Associate Professor of Surgery, Case Western Reserve University

Julie R. Park, M.D.’88

Presented to alumni who have graduated within the past 15 years in recognition of their outstanding community or College service and/or scientific or academic achievement.

William E. Damsky, Ph.D.’11, M.D.’13

Clinical Associate Professor of Obstetrics and Gynecology and Complex Family Planning, Stanford University

Assistant Professor of Dermatology and Pathology, Yale School of Medicine

Presented to an alumnus/a from the UVM Larner College of Medicine’s Ph.D. or M.S. programs who has demonstrated outstanding achievement in basic, clinical or applied research; education; industry; public service/humanitarianism; and/or outstanding commitment to the Larner College of Medicine community.

Chair, Department of Oncology, St. Jude Children’s Research Hospital; Associate Director Translational Research, St. Jude Comprehensive Cancer Center; Scientific Chair, New Approaches to Neuroblastoma Therapy Consortium

EARLY ACHIEVEMENT AWARD

Erica P. Cahill, M.D.’13, MS(c)

DISTINGUISHED GRADUATE ALUMNI AWARD

Andra S. Stevenson, Ph.D.’01 Senior director of global medical affairs for Merck & Co. Inc., presented the Distinguished Alumni Lecture on September 19 as part of the Dean’s Celebration of Excellence in Research at the Larner College of Medicine.

Ryan D. Winters, M.D.’08, MPH, FAAP, FACS, FRACS Associate Professor of OtolarynStaff Specialist - Department - Head and Neck Surgery, M.D.’08, MPH, FAAP, of Otolaryngology gology - Head and Neck Surgery John Hunter Hospital, New South Wales, Australia; Associate Professor of FACS, FRACS and Plastic and Reconstructive Otolaryngology - Head and Neck Surgery and Plastic and Reconstructive Staff Specialist - Department of Surgery, Tulane University, New Surgery, Tulane University, New Orleans, LA; Associate Professor, Otolaryngology - Head & Neck Orleans, LA; Associate ProfesUniversity of Queensland, Queensland, Australia Surgery, John Hunter Hospital, sor, University of Queensland, New South Wales, Australia; Queensland, Australia

SERVICE TO MEDICINE AND COMMUNITY AWARD Presented to alumni who have maintained a high standard of medical service and who have achieved an outstanding record of community service or assumed other significant responsibilities not directly related to medical practice.

2024 NOMINATIONS!

Morris Earle, Jr., M.D.’83, M.P.H. Assistant Professor of Pediatrics, UMASS Chan Medical School

Victor C. Herson, M.D.’73 Neonatologist (Retired); Professor of Pediatrics, University of Connecticut School of Medicine

Paul C. Rutkowski, M.D.’63

Do you know a class member deserving of recognition? Learn more about how to send your nominations at go.uvm.edu/ lcomawards

Retired Private Practice Opthalmology, Harrison, NY, 2022

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OBITUARIES Shirley Geraldine Price, M.D.

’46 Dr. Shirley G. Price, died on

May 14, 2023, at Heritage Center, Evansville, Indiana. Dr. Price was 100 years old. She was born in 1922 in Springfield, Vermont and was a graduate of Springfield, Vermont High School. She earned her M.D. degree from the University of Vermont in 1946 and practiced at Welborn Clinic until her retirement in 1987. Dr. Price was an able pioneer during an era when practicing medicine, particularly surgery, was difficult for women. In addition, Dr. Price’s passion for horses was a lifelong pursuit, earning her numerous awards.

Lawrence Bernard Ahrens,

’51 M.D. Dr. Lawrence Bernard

Ahrens, born on July 15, 1927, in New York, passed away peacefully at the age of 96 on July 15, 2023. After completing his medical degree at the University of Vermont, Dr. Ahrens specialized in gastroenterology and was known for his compassionate care with several decades of service to the community in New Britain, Connecticut. He co-founded the first HMO in Connecticut and served as director of medicine. Beyond medicine, he was an accomplished yachtsman, pilot, ski instructor and bridge player, with a passion for travel.

William C. Street, M.D.

’59 Dr. William “Bill” Street, of

North Easton, MA, passed away on July 26, 2023, after a brief illness, surrounded by his family. Dr. Street, born in Connecticut and raised in Vermont, held a degree in electrical engineering from Rensselaer Polytechnic Institute and later graduated from the UVM College of Medicine. He later graduated from the Air Force School of Aero Space Medicine and became a flight surgeon for eight years for the Vermont National Guard. He was a pioneering anesthesiologist, known for his warmth and dedication. Dr. Street’s passions included skiing, cycling, flying, and sailing. Richard C. Dillihunt, M.D.

’60 Dr. Richard “Dick” C.

Leaving a Medical Legacy Holly Miller, wife of the late Bobby Miller, passed away on September 20, 2023, at the age of 79. Over many decades, Holly and Bobby made substantial contributions to numerous Vermont nonprofits, including UVM, the UVM Medical Center, and UVM Health Network Home Health and Hospice (formerly the Visiting Nurse Association [VNA] of Chittenden & Grand Isle Counties). Holly was a dedicated advocate for end-of-life care and spent her final days at Home Health and Hospice’s McClure Miller Respite House, a place she cherished and helped establish. Holly and Bobby’s passion for life and commitment to community service will leave a lasting impact for generations. Their philanthropy has addressed critical health care challenges, from medical education and research to state-of-the-art clinical facilities. They consistently promoted the values of communication and compassion. Their legacy is evident on campus through endowed faculty positions at the Larner College of Medicine and the College of Nursing and Health Sciences, as well as their leadership gift for the construction of the Miller Building at the UVM Medical Center. In Holly’s own words, “It is much easier to say goodbye to a loved one if you have been able to say a real hello.”

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Dillihunt, of Portland, passed away at home on May 11, 2023, at 88. Born in Hartford, Conn., in 1935, he graduated from Tufts University in 1956 and continued his education at the University of Vermont College of Medicine, where he earned the Roche Award for compassion in patient care. Dr. Dillihunt served as a captain in the U.S. Army and then pursued a 40-year career at Maine Medical Center as a vascular surgeon. His legacy includes pioneering kidney transplants in Maine, training medical residents, and advocating for affordable health care. Herzl R. Spiro, M.D.

’60 Dr. Herzl Robert Spiro passed

away in Milwaukee on February 7, 2023. He was an academic psychiatrist, philanthropist, and a leader in the Jewish community. Born in Burlington, Vt., in 1935, he is most known for his work with the Jewish Agency’s Immigration and Absorption Committee, helping immigrants from Ethiopia and the former Soviet Union settle in Israel. Dr. Spiro completed his education at the University of Vermont, both undergraduate and medical school. After training at New York Hospital – Cornell Medical Center and working at the Johns Hopkins Hospital, he became a pioneer in community mental health. He served as the director of the Rutgers (NJ) Community Health Center, working on deinstitutionalizing mental health care. In Milwaukee, he held positions as commissioner of mental health for Milwaukee County and chairman of psychiatry at the Medical College of Wisconsin. Dr. Spiro was devoted to justice in all fields and sought to make psychiatric outreach programs accessible to everyone. In 2020, Dr. Spiro published a memoir titled “Of Hope.”

Allen W. Mathies, Jr., M.D.

’61 Dr. Allen W. Mathies, Jr., was

a distinguished physician, educator, and leader who passed away at home on February 5, 2023. He grew up in Colorado Springs, earned his master’s and Ph.D. in Parasitology at Columbia University and graduated cum laude from the University of Vermont College of Medicine in 1961. His career began with an internship at the USC/LAC Medical Center, and later became dean of the USC School of Medicine for a decade. He served as president and CEO of Huntington Memorial Hospital from 1985 to 1995. In retirement, he was active on various boards, dedicated to service to others and the community. Dr. Mathies had a passion for singing and music, and performed and officiated at numerous weddings. David A. Stephens, M.D.

’61 Dr. David Stephens passed

away on January 28, 2023, at the age of 89, surrounded by his children after a brief illness at the Finger Lakes Center for Living. He grew up in Burlington, Vt., and was an enthusiastic skier and sailor. He completed his undergraduate and medical degrees at the University of Vermont, where he met his wife, Christine, before beginning his pediatrics residency. After completing his residency and serving in the Army in Colorado Springs during the Vietnam War, he settled in Auburn, providing pediatric care to the community for over 35 years. Dr. Stephens was known for his caring and attentive nature, especially with generations of children. Edwin Laurie Tolman, M.D.

’61 Dr. Edwin Laurie Tolman, of Lin-

coln, formerly Belmont, passed away peacefully, on June 24, 2023, at the age of 88. He attended Boston Latin School, Harvard College and University of Vermont School of Medicine. He was a prominent Boston dermatologist, practicing at Lahey Clinic for over forty years, where he served as chair of his department. He was an assistant professor at Harvard Medical School, where he trained generations of medical students and residents. Leigh Wakefield Kendall, M.D.

’63 Dr. Leigh Wakefield Kendall, 85,

passed away at Homestead Village in Lancaster. Born in Brattleboro, Vt., Dr. Kendall earned his A.B. from the University of Pennsylvania in 1959, his M.D. from the University of Vermont in 1963, and his M.S. from


OBITUARIES Lucien J. Côté, M.D.’54 Leading Parkinson’s disease specialist Dr. Lucien Côté died in December 2022 at age 94. A native of Quebec, Canada, he earned his M.D. from the UVM College of Medicine in 1954 and was inspired to pursue a residency in neurology when he first encountered Parkinson’s patients during his time as a U.S. Air Force physician in Morocco in the 1950s— an era that offered few treatments or specialists. He made it his life’s work to fill gaps in research and care, serving on the neurology faculty at Columbia University

the University of Illinois at Chicago in 1965. He served his country during the Vietnam War on hospital ships, the Repose and Sanctuary, as part of the U.S. Navy Reserve. Lancaster became Dr. Kendall and his wife’s home, where he practiced and served at St. Joseph Hospital and Lancaster Regional Hospital for 36 years. He was an active surgeon from 1971-93, past president of the Warren H. Cole Society, and a member of the Royal Society of Medicine. Jeremy Ethan Alperin, M.D.

’66 Dr. Jeremy Ethan Alperin, 83, of

Weslaco, Texas, passed away peacefully on May 20, 2023, in Dallas, Texas. Born in Boston, Massachusetts, Dr. Alperin was a highly respected Ear, Nose and Throat surgeon in Weslaco, charming both children and winter Texans for nearly 30 years. Dr. Alperin was an early advocate of running for exercise and could be seen jogging through the streets of Weslaco regularly. He enjoyed socializing with colleagues in the Doctor’s Lounge at Knapp Medical Center, participating in Harvest Night, and attending Dinner Club with friends. Edward G. Hixson, Jr., M.D.

’66 Dr. Edward G. Hixson, Jr., aged

81, of Upper St. Regis Lake, passed away on February 19, 2023. Born in Oneida on November 11, 1941, Dr. Hixson, was a graduate of Middlebury College, Vermont, and the University of Vermont School of Medicine, served as a battalion surgeon in the Army, and in the Vermont National Guard Mountain division, retiring as LTC. After moving to Saranac Lake, he practiced surgery in the Tri Lakes area, and among various roles served as a medical director for the medical

Irving Medical Center, a Parkinson’s Foundation Center of Excellence, for more than 60 years. His work led to a genetics research program at the Parkinson’s Foundation named in his honor and a Lifetime Achievement Award from the foundation in 2014. Côté’s support of medical students lives on in perpetuity through the Lucien J. Côté, M.D.’54 Scholarship Fund at the Larner College of Medicine, which was created by Dr. Côte’s daughter Gabrielle Côté Crandall and Roger Crandall.

advisory committee to the U.S. Nordic ski team, vice chairman for medical services at the U.S. Olympic Training Center in Lake Placid and played a pivotal role in introducing sports medicine to the area. An outdoor enthusiast, he was an avid mountain climber, canoer, and canoe racer. He authored several journal articles and sports medicine chapters and was in the process of completing a book titled Long Path to Bear Pond, and active on several local boards. John E. Hunt, Jr., M.D.

’70 Dr. John E. Hunt, of

Southampton, passed away at the age of 79 on April 22, 2023, due to complications from Myelodysplastic Syndrome. Dr. Hunt graduated with honors from Boston College and UVM College of Medicine. He completed his internship and residency at the University of Pennsylvania, where he received the John P. Emich MD Award for the Outstanding Senior Resident. After serving as a major at Mather Air Force Base in Sacramento, California, Dr. Hunt joined Hamptons Gynecology and Obstetrics in 1977, where he dedicated himself to his patients and the community. During his time at Southampton Hospital, Dr. Hunt held various leadership positions, including chief of obstetrics, president of the medical staff, and a member of the executive committee and the board of directors. He also served as president of the Suffolk County Obstetrical Society. After retiring in 2014, he pursued his passions for golf and horticulture, even completing a Master Gardening course at Cornell Cooperative Extension. He was an active member of the Horticultural Alliance of the Hamptons.

William Brooks Ware, M.D.

’74 Dr. William Brooks Ware, of

Stonington, Conn., passed away unexpectedly on Sunday, February 5, 2023. Born in Boston, Mass., he had lived in Stonington for the past 32 years. Dr. Ware grew up in Stow, Mass., and after high school, he earned his A.B. degree from Colby College. Dr. Ware continued his education, receiving his medical degree from the University of Vermont College of Medicine in the class of 1974. Dr. Ware’s private surgical practice spanned over thirty years, starting at the Aliquippa Hospital in Aliquippa, Pa., where he specialized in general and vascular surgery. Later, he practiced general surgery at the Westerly Hospital until his retirement in 2022. He also served as a captain in the United States Air Force Medical Corps and was honorably discharged in 1993. Throughout his professional career, Dr. Ware was a member of several organizations, including the American Board of Surgery, University of Vermont College of Medicine Century Club, and the Knights of Kaleva. He was also an Eagle Scout and had a deep love for the outdoors.

retirement, he lived in Palm Springs, Calif., and indulged his passion for travel and automobiles. He had a deep love for exploring the world and a legendary knowledge of cars. Dr. Maslack’s generosity extended to causes he held dear, including The Desert Aids Project and The Redwood Society. Donald F. Shea, Jr., M.D.

’77 Dr. Donald Francis Shea Jr.,

passed away on June 11, 2023, at St. Mary’s Hospital in Amsterdam, N.Y. after an extended illness. Originally from Bennington, he graduated from Mount Anthony Union High School in 1969. He attended the University of Notre Dame for his undergraduate studies and went on to earn his medical degree from the University of Vermont College of Medicine in 1977. He completed his internship and residency in internal medicine at Lutheran Medical Center in Brooklyn, N.Y. before returning to Bennington. He practiced internal medicine there for many years in the same office on South St., alongside his father, Donald Shea, Sr., MD, and his uncle, James Seward Shea, MD, before his retirement.

Mark Michael Maslack, M.D.

’77 Dr. Mark Michael Maslack, a

retired diagnostic radiologist/nuclear medicine physician, passed away at his home in Palm Springs, Calif., on February 12, 2023, after a battle with cancer. He was born on August 1, 1951, in Granville, N.Y., graduated from the University of Vermont Medical School in 1977 and relocated to Philadelphia, where he practiced medicine and taught students at Albert Einstein Hospital and Pennsylvania Hospital before retiring. After

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MOMENT IN TIME

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JUNE 21, 2023 10:37 A.M. Larner Dean Richard L. Page, M.D., has his blood drawn by Chloe-Mae Rushford (right) during the Larner College of Medicine’s, first annual blood drive. The inaugural event was a collaborative effort with the American Red Cross. Over sixty members of the College’s community joined Dean Page in the Larner Classroom to donate blood. PHOTO: CEILIDH KEHOE

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Non-Profit Org. U.S. POSTAGE PAID Burlington VT Permit No. 143

VERMONT MEDICINE 89 Beaumont Ave. Burlington, VT 05405

14 200 Years Young

24 Summer Scholars

28 Renaissance Man

What’s next? Charting the College’s path forward.

Medical students dive into research tackling unmet health needs.

An interview with Vito Imbasciani, M.D.’85, Ph.D.


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